Date: Mon, 3 Oct 2005 07:21:41 -0700

Subject: Bilateral acetabular both column fracture

From: tigeorge

Friends,

I would solicit your opinion on Orthopaedic management of this case.

55 year old male patient brought following a fall from a height. Haemodynamically unstable. Had to undergo laparoscopy followed by laparotomy(midline incision)and splenectomy following failed attempt to repair a splenic injury. Has lung contusion on left side and is on intercostal drainage. At present on ventilator and hopefully be out of of ventilator in a couple of days.

No significant co-morbid medical conditions.

Past history of spine injury 5 years ago for which a spinal stabilization and bonegrafting was done.

He has bilateral bicolumn acetabular fracture. At present on bilateral skin traction. I am attaching available images. CT of acetabulum planned after patient is out of ventilator.

Kindly give your valuable opinion on this patient's acetabular fractures. Should we plan bilateral bicolumn fixation(This would involve another set of major surgeries – two anteriorly and two posteriorly).

Hope to hear from you.

Dr. T. I.George
Head of Ortho Unit III
Little Flower Hospital
Angamaly, India

Date: Tue, 25 Oct 2005 10:25:39 -0700

From: T.I. George

I am attaching the reconstructed picture from the CT on this case.

Dr. T. I.George
Head of Ortho Unit III
Little Flower Hospital
Angamaly, India