Surgical treatment of an acetabular fracture and labral tear with suture anchors in a 10-year-old child.
This article presents a case of a 10-year-old boy with a right acetabular fracture secondary to a direct blow to the pelvis and back. He sustained a right hip dislocation and transverse with posterior wall acetabular fracture with a nonconcentric hip joint after reduction. The fracture was treated with right labral and articular segment absorbable suture tie-down and relocation of the right hip into an anatomical position. At 32-month follow-up, the patient had returned to activities of daily living, he had a normal and symmetric gait pattern, and no pain on hip adduction, flexion, or internal rotation. This technique reduced the fracture and labrum, relocated the hip joint, and obviated the need for hardware removal that is typically needed in the pediatric population. This case is distinctive due to the patient's young age and treatment method, which has not been described previously for the treatment of this rare pediatric fracture.
Mormor
Meir
M
Orthopaedic Trauma Institute, San Francisco General Hospital, University of California, San Francisco, San Francisco, California 94110, USA.
Matityahu
Amir
A
D020341:Absorbable Implants; D000077:Acetabulum / Q000293:injuries* / Q000601:surgery*; D002358:Cartilage, Articular / Q000293:injuries / Q000601:surgery*; D002648:Child; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006617:Hip Dislocation / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D053441:Suture Anchors