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Archives of Orthopaedic and Trauma Surgery

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01-09-2020 | Osteoarthrosis | Orthopaedic Surgery

Posterior wall acetabular fracture in a 13-year-old boy treated by open reduction and mini-plate internal fixation: long-term follow-up of 17 years

Authors: Caroline Passaplan, Alexandre Simonin, Emanuel Gautier

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2020

Abstract

Background

Acetabular fractures are uncommon in children and adolescents, mainly because of predominant cartilaginous component and strong surrounding ligaments. Although acetabular fractures at this age can lead to significant disability, there is no consensus regarding management, which continues to be controversial. Particularly, long-term outcome after operative management has not been evaluated.

Case presentation

We report a case of a 13-year-old boy skeletally immature who presented with an isolated acetabular fracture involving the posterior wall secondary to a traumatic hip dislocation. A Kocher-Langenbeck approach with a surgical luxation of the hip was used for reduction and mini-plate internal fixation of the fracture. Long-term (17-year) follow-up showed a good clinical outcome and a good congruence of the. The patient has bilateral beginning osteoarthritis due to a cam configuration of both hips

Conclusion

We describe a case of successful operative management of an acetabulum fracture in a skelettaly immature child with a long-term follow-up. Aggressive management of this rare type of fractures may lead to durable positive outcome.

Sen MK, Warner SJ, Sama N, Raglan M, Bircher C, Bircher M, Lorich DG, Helfet DL (2015) Treatment of acetabular fractures in adolescents. Am J Orthop 44(10):465–470PubMed

Slongo TF (2013) Acetabulum injuries in infancy and childhood. Unfallchirurg 116(12):1076–1084CrossRef

Bucholz RW, Ezaki M, Ogden JA (1982) Injury to the acetabular triradiate physeal cartilage. J Bone Joint Surg Am 64(4):600–609CrossRef

Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U (2001) Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 83(8):1119–1124CrossRef

Podeszwa DA, Rocha AD, Larson AN, Sucato DJ (2015) Surgical hip dislocation is safe following acute traumatic hip instability in the adolescent. J Pediatr Ortho 35:435–442CrossRef

Gänsslen A, Hildebrand F, Heidari N, Weinberg AM (2013) Acetabular fractures in children: a review of the literature. Acta Chir Orthop Traumatol Cech 80(1):10–14PubMed

Letournel E (1980) Acetabulum fractures: classification and management. Clin Orthop Relat Res (151):81–106

Matta JM (1996) Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 78(11):1632–1645CrossRef

Laer L (1986) Frakturen und Luxationen im Wachstumsalter. Georg Thieme, pp 256–264

10.

Heeg M, de Ridder VA, Tornetta P 3rd, de Lange S, Klasen HJ (2000) Acetabular fractures in children and adolescents. Clin Orthop Relat Res. https://doi.org/10.1097/00003086-200007000-00012CrossRefPubMed

11.

Davis AT, Moed BR (2013) Can experts in acetabular fracture care determine hip stability after posterior wall fractures using plain radiographs and computed tomography? J Orthop Trauma 27(10):587–591CrossRef

12.

Karunakar MA, Goulet JA, Mueller KL, Bedi A, Le TT (2005) Operative treatment of unstable pediatric pelvis and acetabular fractures. J Pediatr Orthop 25(1):34–38PubMed

13.

Nierenberg G, Volpin G, Bialik V, Stein H (1993) Pelvic fractures in children: a follow-up in 20 children treated conservatively. J Pediatr Orthop 1:140–142CrossRef

14.

Schwarz N, Posch E, Mayr J, Fischmeister FM, Schwarz AF, Ohner T (1998) Long-term results of unstable pelvic ring fractures in children. Injury 29(6):431–433CrossRef

15.

Silber JS, Flynn JM, Katz MA, Ganley TJ, Koffler KM, Drummond DS (2001) Role of computed tomography in the classification and management of pediatric pelvic fractures. J Pediatr Orthop 21(2):148–151PubMed

Title: Posterior wall acetabular fracture in a 13-year-old boy treated by open reduction and mini-plate internal fixation: long-term follow-up of 17 years
Authors: Caroline Passaplan
Alexandre Simonin
Emanuel Gautier
Publication date: 01-09-2020
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthrosis
Hip Dislocation
Acetabular Fracture
Osteoarthrosis
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 9/2020
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-019-03307-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Posterior wall acetabular fracture in a 13-year-old boy treated by open reduction and mini-plate internal fixation: long-term follow-up of 17 years

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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