Pelvic Plating System Case Study: Acetabular Fracture with Displaced Anterior Column and Quadrilateral Surface Disruption

Patient History: A 46-year-old female with preexisting primary osteoarthritis was driving a moped when she was struck by a car. She was brought to the trauma center with a closed head injury and right acetabulum fracture. She was initially treated in skeletal traction until her neurological status improved. Computed tomography (CT) scan confirmed diagnosis of a displaced anterior column comminuted medial wall acetabular fracture. Given the amount of displacement and concern for a complicated total hip replacement, the decision was made to stabilize the acetabulum fracture initially and proceed with total hip replacement on a delayed basis if necessary.