Date: Fri, 14 Nov 2003 01:59:18 +0100

From: Josep M. Muñoz Vives

Subject: Hip flexion after acetabular fracture

This 28 yo female, delivered a child in August 01, while she was going to show the baby to their grandfathers in Morocco she suffered a RTA in October 01 with: Acetabular fracture (62-B1.3,a3)


She was transferred to our hospital 4 weeks later and we agreed to operate on her.

Post Op Xray
Post Op CT

Immediate postoperative course was uneventful, but as she was mainly occupied with her child, she didn't care much of herself and rehabilitation. She didn't recover hip extension, and since then she walks with her hip in flexion.

Thomas Test

She has only very mild hip pain, but she complains of lumbar pain because she limps a lot.

Do you think we can do something to improve her hip extension?

What to do?


Dr. Josep M. Muñoz Vives
Orthopedic Dept.
Hospital Universitari Dr. Josep Trueta.
Catalunya, Spain

Reply at: Orthopaedic Trauma Association forum

Date: Thu, 13 Nov 2003 22:33:07 EST

From: Aobonedoc

I think I would leave this alone, especially if this is less than 1 year since the injury.

Sincerely and respectively,

M. Bryan Neal, MD
Arlington Orthopedics and Hand Surgery Specialists, Ltd.
Arlington Heights, Illinois 60005