Mansi Zied, Aymen Ben Mahmoud, Abdelkader Tounsi, Ali Haggui, Wajdi Chermiti, Bacem Zaidi
Ibn El Jazzar Hospital of Kairouan, Department of Orthopaedic and Traumatology, Tunisia.
Ibn El Jazzar Hospital of Kairouan, Department of Orthopaedic and Traumatology, Tunisia.
Int J Surg Case Rep. 2024 Mar;116:109424. doi: 10.1016/j.ijscr.2024.109424. Epub 2024 Feb 22.
Bilateral acetabular fractures are very rare. They are usually seen in the context of multiple trauma patients. This type of fracture poses a problem and difficulty in therapeutic management, sometimes resulting in serious sequelae and significant morbidity.
We report a rare case of bilateral simultaneous acetabular fracture in an adult, forty-seven years old man due to a road accident.
Bilateral acetabular fractures are very rare. While bilateral acetabular fracture most frequently occur due to automobile accidents, other mechanism can be responsible for this injury as well. Furthermore, bilateral acetabular fractures are frequently associated with other lesions of the surrounding bones or tissues. Surgery is the most suitable treatment in most cases. The development of osteoarthritis is the most common complication of acetabular fracture and is directly related to the post-operative reduction obtained. Heterotopic ossifications are a complication associated with acetabular fracture. In acetabular fracture, the primary objective of surgical treatment is anatomical reduction of the fracture that will determinate the future of hip.
The treatment goal of acetabular fracture is anatomic or near anatomic reduction of the articular surface. The risk of osteonecrosis is mostly related to the initial injury and time to reduction.
双侧髋臼骨折非常罕见。它们通常见于多发伤患者。这种类型的骨折在治疗管理上存在问题和困难，有时会导致严重的后遗症和显著的发病率。
我们报告一例罕见的成年男性（47岁）因道路交通事故导致双侧同时性髋臼骨折的病例。
双侧髋臼骨折非常罕见。虽然双侧髋臼骨折最常由汽车事故引起，但其他机制也可能导致这种损伤。此外，双侧髋臼骨折常与周围骨骼或组织的其他病变相关。在大多数情况下，手术是最合适的治疗方法。骨关节炎的发展是髋臼骨折最常见的并发症，并且与术后获得的复位直接相关。异位骨化是与髋臼骨折相关的一种并发症。在髋臼骨折中，手术治疗的主要目标是骨折的解剖复位，这将决定髋关节的未来。
髋臼骨折的治疗目标是关节面的解剖或接近解剖复位。骨坏死的风险主要与初始损伤和复位时间有关。
