title: Central acetabular fracture with dislocation treated by minimally invasive plate osteosynthesis.
abstract: Central acetabular fractures with dislocation are usually the result of high-energy trauma, resulting in joint incongruity, and are frequently associated with other injuries. Open reduction and internal fixation has been the standard treatment for acetabular fractures, but it is associated with extensive surgical trauma, and complications such as haematoma formation, iatrogenic nerve injury, and heterotopic ossification. We present the case of a 63-year-old female who sustained a central acetabular fracture of the hip with dislocation as a result of an automobile collision. Closed reduction of the dislocation was performed, and the fracture was managed by minimally invasive plate osteosynthesis using a specially prepared plate. At 01 year postoperatively, radiographs showed the fracture to have been well-healed with good congruity of the joint. However, heterotopic ossification of the joint was noted. The technique allowed reduction of the fracture with minimal surgical trauma.
mesh_terms: D000063:Accidents, Traffic; D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries*; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006617:Hip Dislocation / Q000150:complications / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D014057:Tomography, X-Ray Computed
keywords: Acetabular fracture, Fracture, Hip, Minimal invasive surgery, Plate osteosynthesis.