PMC3809595_01
The patient presented with a pelvic ring compression fracture at the right side as well as a periprosthetic posterior column fracture at the left side (emergency X-ray and multislice CT scan).
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fig1
Further workup with X-rays and a multislice CT scan demonstrated a thoracic spine (T12) fracture (no neurological deficits, type 51-A1.1 according to AO), a B-type compression fracture of the left pelvic ring (61-B2.1 b2, c1 according to OTA), and a periprosthetic posterior column fracture of the right acetabulum (62-A2.3 a1 according to OTA, Figures 1(a)-1(b)).
Postoperative X-ray 1 year after trauma showing bony healing in an anatomic position.
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fig2
Since the preoperative radiological diagnostics showed no signs of loosening of the acetabular cup, the posterior column and the posterior wall were stabilized via the Kocher-Langenbeck approach after open reduction with two 3.5 mm titanium reconstruction plates (Figure 2). At the 12-month follow-up (see Figures 2 and 3) visit, the patient presented with inconspicuous scars and pain-free mobilisation without limping.
Clinical wound condition and CT-scan result 1 year postoperatively.
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fig3
At the 12-month follow-up (see Figures 2 and 3) visit, the patient presented with inconspicuous scars and pain-free mobilisation without limping.