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[Direct communication between the lower urinary tract and the hip joint complicating acetabular fracture. A case
1Service de Traumatologie-Orthopédie (P32), CHU Ibn Rochd, Casablanca, Maroc.
Introduction:
Urinary complications are rare in acetabular fractures (3.5 p. 100). They can lead to immediate, secondary or late complications.
Case Report:
The authors report the case of an uretro-acetabular fistula in a complex acetabular fracture. Intravenous urography showed the fistula with opacification of the hip joint. Surgical treatment of the fracture was contra-indicated due to the septic risk. Post traumatic degenerative joint disease appeared in our patient and a total hip arthroplasty was performed at 18 months post injury. At 6 months follow-up, clinical biological and radiographical status was good.
Discussion And Conclusion:
Hip joint contamination with urines due to uretroacetabular fistula could be responsible for septic hip arthritis and late joint deterioration. Urine drainage using a cystocatheter as in our observation is recommended. Primary and secondary treatment of the acetabular fracture remains difficult.