Pelvis, acetabulum: minimally displaced right anterior column and posterior hemitransverse acetabular fracture—62-B3
Case description
An 80-year-old man sustained a closed, minimally displaced right anterior column and posterior hemitransverse acetabular fracture following a fall. The patient had multiple medical comorbidities including coronary artery disease, peripheral vascular disease, chronic kidney disease stage 3, chronic obstructive pulmonary disease, hyperlipidemia, Parkinson‘s disease, and essential tremor.
Indication for MIPO
Given the patient‘s multiple medical comorbidities, the surgeon had to balance the risks and benefits of the surgery with complications that arrise from prolonged bed rest. Complications related to nonoperative treatment were weighed against those of operative treatment and the decision was made to proceed with operative intervention. Percutaneous long screw placement is a good choice.
Preoperative planning
Following initial assessment the patient was deemed safe for operative fixation of his pelvic fractures on the second day after admission. After the decision was made that the case was suitable for MIPO, a thorough preoperative plan was created, including the surgical approach, the displacement of the fracture fragments, the reduction technique, and the appropriate implants ( Fig 15.5-2 ).
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