• Der Unfallchirurg · Mar 2004

    Case Reports

    [Extensive reconstruction of the acetabular dome after redisplacement of an acetabular fracture. Case report].

    • A Gänsslen, T Pohlemann, and C Krettek.
    • Unfallchirurgische Klinik, Medizinische Hochschule, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany. gaensslen.axel@mh-hannover.de
    • Unfallchirurg. 2004 Mar 1; 107 (3): 232-5.

    AbstractAnatomical reconstruction and stable internal fixation is the treatment of choice in displaced acetabular fractures. Marginal impaction zones are of negative prognostic value. They are normally treated with a cancellous bone graft from the greater trochanter. In the presented case, a secondarily failed acetabular reconstruction with redisplacement of the acetabular dome was treated with several corticocancellous blocks filled in the dome defect. In this case, a comminuted area and secondary displacement could be successfully treated with anatomical reconstruction. This resulted in joint congruency and an acceptable long-term result after 16 years.

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