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Percutaneous hip containment technique for acetabular posterior wall fracture-dislocation: A case report
Alona Katzir1, Johnston B Norton1, David M Edwards1
1Department of Orthopaedic Surgery, Parkland Memorial Hospital, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
None:
An 18-year-old woman involved in a motor vehicle collision sustained a pelvic ring fracture and a right hip posterior wall acetabular fracture-dislocation. She was taken to the operating room for minimally invasive reduction and fixation of the pelvic ring fracture, as well as an examination under anesthesia (EUA) of the acutely reduced right hip. The hip fracture-dislocation was found to be unstable, and she subsequently underwent a minimally invasive hip containment surgery using a transfemoral neck tunnel through the quadrilateral surface and a TightRope suture EndoButton application. At 1 year postoperatively, the patient is pain-free and has returned to full activity with no residual instability. Hip containment with a TightRope device may be considered to maintain stability in unstable acetabular posterior wall fracture-dislocations.