. Hip replacement in neglected acetabular fracture. OrthopaedicsOne Cases. In: OrthopaedicsOne - The Orthopaedic Knowledge Network. Created Sep 29, 2011 07:12. Last modified Oct 03, 2011 04:07 ver.6. Retrieved 2019-05-26, from https://www.orthopaedicsone.com/x/MIAwB.
Acetabular fractures are often sustained in four wheeler accidents. Most patients are young. The ideal
treatment is internal fixation in displaced fractures. In neglected fractures or following improper
fixation, avascular necrosis and secondary osteoarthritis result. In such cases, total hip replacement is
Mr. SA, a 30-year-old Nigerian male, presented with a neglected acetabular fracture of 2 years' duration. Imaging showed a fracture of the posterior acetabular wall, with the head of the femur lying posteriorly on the ischium (Figure 1).
The patient was scheduled for a one-stage acetabular reconstruction and a total hip replacement.
Diagnosis (Click to see answer)