Clinical Management, Prognosis, and Outcomes of Bilateral Acetabular Fractures: A Case Report
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Abstract
Background: Bilateral acetabular fractures are a rare type of acetabular fracture, and due to the scarcity of information regarding these types of fractures, managing bilateral acetabular fractures presents significant challenges. We presented a 25-year-old man with bilateral acetabular fractures (left transverse fracture of the acetabulum and right posterior column fracture of the acetabulum) secondary to severe trauma following a road accident with no other pelvic damage.
Case Report: Because the displacement was more on the patient's left side (although the patient's pain was more on the right side), the open reduction and internal fixation (ORIF) surgery was first performed on the left side, and secondary ORIF surgery was performed on the right side, under general anesthesia with Kocher-Langenbeck approach for both sides.
Conclusion: Due to the increase in road traffic accidents (RTAs) and improper safety of cars, especially in developing countries, this type of fracture may be repeated in the future, and regarding the complexity and comorbidities associated with this type of fracture, the high experience of the surgeon and detailed investigations are required to achieve successful results.
1. Kenmegne GR, Zou C, He X, Lubamba GP, Fang Y. Bilateral acetabular fracture secondary to high-velocity trauma: A rare case report. Jt Dis Relat Surg. 2022;33(2):455-61. doi: 10.52312/jdrs.2022.641. [PubMed: 35852208]. [PubMed Central: PMC9361093].
2. Ingle M, Bhalotia A, Chandele V. Bilateral anterior column acetabulum fracture following road traffic accident: A rare presentation. J Orthop Case Rep. 2018;8(5):72-4. doi: 10.13107/jocr.2250-0685.1218. [PubMed: 30740381]. [PubMed Central: PMC6367295].
3. Nehme AH, Matta JF, Boughannam AG, Jabbour FC, Imad J, Moucharafieh R. Literature review and clinical presentation of bilateral acetabular fractures secondary to seizure attacks. Case Rep Orthop. 2012;2012:240838. doi: 10.1155/2012/240838. [PubMed: 23259117]. [PubMed Central: PMC3505906].
4. Granhed HP, Karladani A. Bilateral acetabular fracture as a result of epileptic seizure: A report of two cases. Injury. 1997;28(1):65-8. doi: 10.1016/S0020-1383(96)00152-0. [PubMed: 9196630].
5. Friedberg R, Buras J. Bilateral acetabular fractures associated with a seizure: a case report. Ann Emerg Med. 2005;46(3):260-2. doi: 10.1016/j.annemergmed.2005.03.009. [PubMed: 16126137].
6. Nodzo SR, Hohman DW, Galpin RD. Bilateral acetabular fractures in an adolescent after low-energy trauma. Pediatr Emerg Care. 2012;28(6):568-9. doi: 10.1097/PEC.0b013e318258bfd3. [PubMed: 22668663].
7. Takahashi Y, Ohnishi H, Oda K, Nakamura T. Bilateral acetabular fractures secondary to a seizure attack caused by antibiotic medicine. J Orthop Sci. 2007;12(3):308-10. doi: 10.1007/s00776-007-1116-3. [PubMed: 17530386].
8. Van HA, Vorlicky L, Thompson RC, Jr. Bilateral central acetabular fracture dislocations secondary to sustained myoclonus. Clin Orthop Relat Res. 1996;(324):210-3. doi: 10.1097/00003086-199603000-00024. [PubMed: 8595757].
9. Aynaci O, Kerimoglu S, Ozturk C, Saracoglu M. Bilateral non- traumatic acetabular and femoral neck fractures due to pregnancy-associated osteoporosis. Arch Orthop Trauma Surg. 2008;128(3):313-6. doi: 10.1007/s00402-007-0439-z. [PubMed: 17828410].
10. Zandi R, Minator Sajjadi M, Manafi A, Emami Meibodi MK, Darabi H. Anatomical dimensions of the anterior column of the acetabulum with imaging criteria in patients with surgical acetabular fractures. Trauma Monthly. 2021;26(5): 244-51. doi: 10.30491/TM.2021.262005.1211.
11. Mortazavi SJ, Zarei M, Kalantar SH, Rasta S. Acetabular posterior wall fracture: How to determine the fragment size. J Orthop Spine Trauma. 2021;6(4):88-90. doi: 10.18502/jost.v6i4.5564.
12. Qin W, Fang Y. Traumatic asymmetrical bilateral hip dislocation: A rare case report. Jt Dis Relat Surg. 2021;32(3): 767-70. doi: 10.52312/jdrs.2021.290. [PubMed: 34842111]. [PubMed Central: PMC8650662].
13. Mortazavi SJ, Mazzochy H, Ghasemi M, Khan F. Asymmetric bilateral hip fracture-dislocation: A case report and literature review. J Orthop Spine Trauma. 2020;5(2):53-5. doi: 10.18502/jost.v5i2.3755.
14. Boussarki H, El Ibrahimi A, Mohammed EI, Shimi M, Elmrini A. Bilateral acetabular fracture. Two case reports with literature review. International Journal of Medicine and Surgery. 2015;2(1):19-22. doi: 10.15342/ijms.v2i1.17.
15. Stevens JM, Shiels S, Whitehouse MR, Ward AJ, Chesser TJ, Acharya M. Bilateral acetabular fractures: Mechanism, fracture patterns and associated injuries. J Orthop. 2020;18:28-31. doi: 10.1016/j.jor.2019.10.012. [PubMed: 32189879]. [PubMed Central: PMC7068020].
16. Letournel E, Elson RA, Judet R. Fractures of the acetabulum. Berlin, Heidelberg, Germany: Springer Berlin Heidelberg; 2013.
17. Kenmegne GR, Zou C, Lin Y, Yin Y, Huang S, Fang Y. Traumatic bilateral acetabular fracture secondary to high-energy trauma in healthy adults. BMC Surg. 2024;24(1):12. doi: 10.1186/s12893- 023-02302-1. [PubMed: 38172770]. [PubMed Central: PMC10765676].
18. Mousafeiris VK, Vasilopoulou A, Chloros GD, Panteli M, Giannoudis PV. Management and outcomes of bilateral acetabular fractures: A critical review of the literature. Indian J Orthop. 2022;56(5):752-61. doi: 10.1007/s43465-021-00593-1. [PubMed: 35542314]. [PubMed Central: PMC9043046].
19. Smith E, Deal AC, Biswas S. Double trouble: Exploring bilateral acetabular fractures in a trauma patient. Cureus. 2024;16(3):e56889. doi: 10.7759/cureus.56889. [PubMed:38659564]. [PubMed Central: PMC11042062].
20. Porter SE, Schroeder AC, Dzugan SS, Graves ML, Zhang L,Russell GV. Acetabular fracture patterns and their associated injuries. J Orthop Trauma. 2008;22(3):165-70. doi: 10.1097/BOT.0b013e318165918b. [PubMed: 18317049].
21. Heyer JH, Thakkar SC, Zittel K, Tozzi JE. Bilateral acetabular fractures treated with delayed total hip arthroplasty. Arthroplast Today. 2020;6(2):236-40. doi: 10.1016/j.artd.2020.02.005. [PubMed: 32577470]. [PubMed Central: PMC7303498].
22. Tempelaere C, Divine P, Begue T. Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient. Arthroplast Today. 2019;5(2):139-44. doi: 10.1016/j.artd.2019.03.008. [PubMed: 31286032]. [PubMed Central: PMC6588820].
23. Dean DB, Moed BR. Late salvage of failed open reduction and internal fixation of posterior wall fractures of the acetabulum. J Orthop Trauma. 2009;23(3):180-5. doi: 10.1097/BOT.0b013e31819a07cf. [PubMed: 19516090].
24. Johnson EE, Matta JM, Mast JW, Letournel E. Delayed reconstruction of acetabular fractures 21-120 days following injury. Clin Orthop Relat Res. 1994;(305):20-30. [PubMed: 8050229].
2. Ingle M, Bhalotia A, Chandele V. Bilateral anterior column acetabulum fracture following road traffic accident: A rare presentation. J Orthop Case Rep. 2018;8(5):72-4. doi: 10.13107/jocr.2250-0685.1218. [PubMed: 30740381]. [PubMed Central: PMC6367295].
3. Nehme AH, Matta JF, Boughannam AG, Jabbour FC, Imad J, Moucharafieh R. Literature review and clinical presentation of bilateral acetabular fractures secondary to seizure attacks. Case Rep Orthop. 2012;2012:240838. doi: 10.1155/2012/240838. [PubMed: 23259117]. [PubMed Central: PMC3505906].
4. Granhed HP, Karladani A. Bilateral acetabular fracture as a result of epileptic seizure: A report of two cases. Injury. 1997;28(1):65-8. doi: 10.1016/S0020-1383(96)00152-0. [PubMed: 9196630].
5. Friedberg R, Buras J. Bilateral acetabular fractures associated with a seizure: a case report. Ann Emerg Med. 2005;46(3):260-2. doi: 10.1016/j.annemergmed.2005.03.009. [PubMed: 16126137].
6. Nodzo SR, Hohman DW, Galpin RD. Bilateral acetabular fractures in an adolescent after low-energy trauma. Pediatr Emerg Care. 2012;28(6):568-9. doi: 10.1097/PEC.0b013e318258bfd3. [PubMed: 22668663].
7. Takahashi Y, Ohnishi H, Oda K, Nakamura T. Bilateral acetabular fractures secondary to a seizure attack caused by antibiotic medicine. J Orthop Sci. 2007;12(3):308-10. doi: 10.1007/s00776-007-1116-3. [PubMed: 17530386].
8. Van HA, Vorlicky L, Thompson RC, Jr. Bilateral central acetabular fracture dislocations secondary to sustained myoclonus. Clin Orthop Relat Res. 1996;(324):210-3. doi: 10.1097/00003086-199603000-00024. [PubMed: 8595757].
9. Aynaci O, Kerimoglu S, Ozturk C, Saracoglu M. Bilateral non- traumatic acetabular and femoral neck fractures due to pregnancy-associated osteoporosis. Arch Orthop Trauma Surg. 2008;128(3):313-6. doi: 10.1007/s00402-007-0439-z. [PubMed: 17828410].
10. Zandi R, Minator Sajjadi M, Manafi A, Emami Meibodi MK, Darabi H. Anatomical dimensions of the anterior column of the acetabulum with imaging criteria in patients with surgical acetabular fractures. Trauma Monthly. 2021;26(5): 244-51. doi: 10.30491/TM.2021.262005.1211.
11. Mortazavi SJ, Zarei M, Kalantar SH, Rasta S. Acetabular posterior wall fracture: How to determine the fragment size. J Orthop Spine Trauma. 2021;6(4):88-90. doi: 10.18502/jost.v6i4.5564.
12. Qin W, Fang Y. Traumatic asymmetrical bilateral hip dislocation: A rare case report. Jt Dis Relat Surg. 2021;32(3): 767-70. doi: 10.52312/jdrs.2021.290. [PubMed: 34842111]. [PubMed Central: PMC8650662].
13. Mortazavi SJ, Mazzochy H, Ghasemi M, Khan F. Asymmetric bilateral hip fracture-dislocation: A case report and literature review. J Orthop Spine Trauma. 2020;5(2):53-5. doi: 10.18502/jost.v5i2.3755.
14. Boussarki H, El Ibrahimi A, Mohammed EI, Shimi M, Elmrini A. Bilateral acetabular fracture. Two case reports with literature review. International Journal of Medicine and Surgery. 2015;2(1):19-22. doi: 10.15342/ijms.v2i1.17.
15. Stevens JM, Shiels S, Whitehouse MR, Ward AJ, Chesser TJ, Acharya M. Bilateral acetabular fractures: Mechanism, fracture patterns and associated injuries. J Orthop. 2020;18:28-31. doi: 10.1016/j.jor.2019.10.012. [PubMed: 32189879]. [PubMed Central: PMC7068020].
16. Letournel E, Elson RA, Judet R. Fractures of the acetabulum. Berlin, Heidelberg, Germany: Springer Berlin Heidelberg; 2013.
17. Kenmegne GR, Zou C, Lin Y, Yin Y, Huang S, Fang Y. Traumatic bilateral acetabular fracture secondary to high-energy trauma in healthy adults. BMC Surg. 2024;24(1):12. doi: 10.1186/s12893- 023-02302-1. [PubMed: 38172770]. [PubMed Central: PMC10765676].
18. Mousafeiris VK, Vasilopoulou A, Chloros GD, Panteli M, Giannoudis PV. Management and outcomes of bilateral acetabular fractures: A critical review of the literature. Indian J Orthop. 2022;56(5):752-61. doi: 10.1007/s43465-021-00593-1. [PubMed: 35542314]. [PubMed Central: PMC9043046].
19. Smith E, Deal AC, Biswas S. Double trouble: Exploring bilateral acetabular fractures in a trauma patient. Cureus. 2024;16(3):e56889. doi: 10.7759/cureus.56889. [PubMed:38659564]. [PubMed Central: PMC11042062].
20. Porter SE, Schroeder AC, Dzugan SS, Graves ML, Zhang L,Russell GV. Acetabular fracture patterns and their associated injuries. J Orthop Trauma. 2008;22(3):165-70. doi: 10.1097/BOT.0b013e318165918b. [PubMed: 18317049].
21. Heyer JH, Thakkar SC, Zittel K, Tozzi JE. Bilateral acetabular fractures treated with delayed total hip arthroplasty. Arthroplast Today. 2020;6(2):236-40. doi: 10.1016/j.artd.2020.02.005. [PubMed: 32577470]. [PubMed Central: PMC7303498].
22. Tempelaere C, Divine P, Begue T. Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient. Arthroplast Today. 2019;5(2):139-44. doi: 10.1016/j.artd.2019.03.008. [PubMed: 31286032]. [PubMed Central: PMC6588820].
23. Dean DB, Moed BR. Late salvage of failed open reduction and internal fixation of posterior wall fractures of the acetabulum. J Orthop Trauma. 2009;23(3):180-5. doi: 10.1097/BOT.0b013e31819a07cf. [PubMed: 19516090].
24. Johnson EE, Matta JM, Mast JW, Letournel E. Delayed reconstruction of acetabular fractures 21-120 days following injury. Clin Orthop Relat Res. 1994;(305):20-30. [PubMed: 8050229].
| Files | ||
| Issue | Vol 10 No 3 (2024) | |
| Section | Research Articles | |
| DOI | https://doi.org/10.18502/jost.v10i3.16789 | |
| Keywords | ||
| Acetabulum Fractures Wounds and Injuries | ||
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How to Cite
1.
Zandi R, Ahmadi Abdashti A, Nouri N. Clinical Management, Prognosis, and Outcomes of Bilateral Acetabular Fractures: A Case Report. J Orthop Spine Trauma. 2024;10(3):142-5.
