title: Anterior hip subluxation following fixation of a T-shaped acetabular fracture through an extended iliofemoral approach.
abstract: We report the case of a 34-year-old female patient who, six week following her acetabular fracture ORIF through an extended iliofemoral approach, presented with anterolateral incomplete dislocation of the femoral head. In the absence of joint incongruence as demonstrated on radiographs and CT images, a capsular tightening was performed via the anterior Hueter approach. This capsular plasty stabilized the hip for 2 years, but gradual osteoarthritis deterioration resulted in the need for arthroplasty. At the 2-year follow-up, this secondary arthroplasty showed satisfactory result. The substantial muscle exposure of the lateral aspect of the acetabulum and the circumferential capsulotomy related to the use of the iliofemoral approach were retained as factors promoting this complication. In case early postoperative mobilization is impossible, temporarily maintaining the limb in abduction and flexion can be recommended after an extended iliofemoral approach with circumferential capsulotomy.
authors.affiliation: Academic department of Orthopaedic surgery and Traumatology, Lille 2 University, C Orthopaedics Unit, Salengro Hospital, Lille Regional Teaching Hospital Center, rue Emile-Laine, 59037 Lille cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Lao
authors.forename: M
authors.initials: M
authors.lastname: Soenen
authors.forename: J
authors.initials: J
authors.lastname: Girard
authors.forename: H
authors.initials: H
authors.lastname: Migaud
mesh_terms: D000077:Acetabulum; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006620:Hip Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D012086:Reoperation; D014057:Tomography, X-Ray Computed