[Extensive reconstruction of the acetabular dome after redisplacement of an acetabular fracture. Case report].
Anatomical reconstruction and stable internal fixation is the treatment of choice in displaced acetabular fractures. Marginal impaction zones are of negative prognostic value. They are normally treated with a cancellous bone graft from the greater trochanter. In the presented case, a secondarily failed acetabular reconstruction with redisplacement of the acetabular dome was treated with several corticocancellous blocks filled in the dome defect. In this case, a comminuted area and secondary displacement could be successfully treated with anatomical reconstruction. This resulted in joint congruency and an acceptable long-term result after 16 years.
Gänsslen
A
A
Unfallchirurgische Klinik, Medizinische Hochschule, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany. gaensslen.axel@mh-hannover.de
Pohlemann
T
T
Krettek
C
C
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000379:methods