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Post-traumatic Acetabulum Open Reduction Internal Fixation in a Patient with a BMI of 77: A Case Report
Lily Qian1,2, Indraneel S Brahme1,2, Mai P Nguyen1,2
1Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota.
Case:
We present the case of a 25-year-old man with body mass index of 77 who underwent open reduction internal fixation (ORIF) of a displaced fracture dislocation of the acetabulum after a high-speed motor vehicle accident. Remarkably, he achieved full weight-bearing with minimal hip pain and has returned to independent mobility and meaningful work.
Conclusion:
ORIF of an acetabular fracture in a patient with class III obesity presents many challenges. Positioning, surgical approach, fracture manipulation, and postoperative morbidity and mortality can be managed through interdisciplinary collaboration and preoperative communication.
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Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Drug Dosing: Obese Patients