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Hip replacement in neglected acetabular fracture


Presentation


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
required.

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.

Figures


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Notes


References




Corresponding Author

A.K.VENKATACHALAM
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