Abstract
Aim: The aim was to report a fenestration technique for gap reduction of acetabular depression fractures. Case presentation: A 76-year-old man suffered from severe left leg pain. The computed tomography scanning showed a displaced acetabular depression fracture, including a third fracture fragment in the center of the acetabular weight-bearing area. We performed a fenestration technique to fenestrate the outer plate of ilium to push down the dislocated fragment of the fracture. The patient was pain-free with good functional outcome of the hip joint at three years after operation. Conclusion: The fenestration technique is useful for displaced acetabular depression fractures. We performed open reduction in this particular case, but the technique may be done less invasively with the use of hip arthroscopy.
Highlights
Acetabular fractures are often caused by indirect forces from the femur, and because the hip is a weight bearing joint, the aim for operative treatment is to perform a precise reduction and maintain a strong fixation
We reported a case of an acetabular depression fracture
There was no sign of post-traumatic osteoarthritis of the hip joint in radiographs 3-year postoperatively (Figure 5)
Summary
Acetabular fractures are often caused by indirect forces from the femur, and because the hip is a weight bearing joint, the aim for operative treatment is to perform a precise reduction and maintain a strong fixation. Due to its anatomical characteristics and vicinity to important structures, there are many reports of complications that require advanced surgical techniques for treatment. We reported a case of an acetabular depression fracture. (2016) Open Reduction by Fenestration to the Ilium for Central Acetabular Depression Fractures: A Case Report and Operative Technique. We believe that this is an easy, safe, and unique surgical technique to reduce depression fractures in the central area of the joint. There are no reports describing the use and clinical results of fenestration for this relatively rare fracture type
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