West China Hospital of Sichuan University, Orthopaedic Institute, 610044 Chengdu, People's Republic of China.
Jt Dis Relat Surg. 2022;33(2):455-461. doi: 10.52312/jdrs.2022.641. Epub 2022 Jul 6.
Bilateral acetabular fractures have long been described in seizure patients, osteoporotic acetabular insufficiency. Few cases have been reported in the context of high-velocity trauma. The bilateral traumatic acetabular fracture is very rare and complex due to the unique nature of the force and the fracture pattern. A 48-year-old female patient was admitted to our orthopedic ward for bilateral acetabular fracture after a road traffic accident. On admission, the patient presented with some associated complications susceptible to influence the prognosis. In conclusion, bilateral acetabular fracture secondary to high-velocity trauma can be successfully managed with open reduction and internal fixation, even in cases with a very high risk of surgical site infection and sepsis.
双侧髋臼骨折早已在癫痫患者、骨质疏松性髋臼功能不全中被描述。在高能量创伤背景下,仅有少数病例被报道。由于力和骨折模式的独特性质,双侧创伤性髋臼骨折非常罕见且复杂。一位 48 岁的女性患者因道路交通事故被收入我院骨科病房,诊断为双侧髋臼骨折。入院时,患者存在一些易影响预后的相关并发症。总之,即使存在极高的手术部位感染和脓毒症风险,高能量创伤导致的双侧髋臼骨折也可以通过切开复位内固定成功治疗。