Planning and performance of a total hip replacement for a case of neglected acetabular fracture. Surgery performed by Dr.A.K.Venkatachalam of www.hipsurgery.in.

1. Total hip replacement in
Protrusio acetabuli
Dr.A.K.Venkatachalam
MS Orth, DNB Orth, FRCS, M.Ch Orth
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Orthopaedic surgeon, Chennai, India
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2. THR in protrusio acetabuli
• 49 year old Indian female
• Fall from height of ten feet
• Transverse acetabular fracture
• Protrusio acetabuli
• Shortening of 2 inches
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3. AP x ray
Kohler’s line
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4. CT pelvis
Transverse
fracture of
acetabulum
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5. Transverse slice through right
acetabulum showing intact columns
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6. Planning for total hip
replacement
• Acetabular position and sizing.
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7. Intra op x ray with trial
components
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8. Post op x ray
Centre of hip
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