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Superior Acetabular Fracture: A Rare Variant Involving Both Anterior and Posterior Walls
Hunaid Haider1, Surendar Singh Bava1, Rajendra Phunde1
1Department of Orthopaedics, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Introduction:
Superior acetabular fractures are extremely rare and poorly covered by existing classifications.
Case Report:
A 52-year-old male presented 2½ weeks after a road traffic accident with a superior acetabular fracture involving the roof, iliac wing, and both walls. He was treated through an iliofemoral approach with ASIS osteotomy, reduction using a Schanz pin, and fixation with two cannulated screws. At 6 months, he showed excellent function (Merle d'Aubigné score 17).
Conclusion:
Superior acetabular fractures are rare variants requiring computed tomography-based assessment. The iliofemoral approach provides good exposure and favorable outcomes.
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