Fixation of a High-Energy Both-Column Acetabular Fracture Using a Lateral Rectus Abdominis Approach Following Total Hip Arthroplasty with Retention of a Stable Acetabular Component: A Case Study - Takeaways - MDSpire

Fixation of a High-Energy Both-Column Acetabular Fracture Using a Lateral Rectus Abdominis Approach Following Total Hip Arthroplasty with Retention of a Stable Acetabular Component: A Case Study

  • By

  • Xiangyu Zong

  • Qicai Li

  • Chunpu Li

  • Hongtao Ge

  • Xuemei Yang

  • Yingze Zhang

  • Tianrui Wang

  • April 23, 2026

  • 0 min

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  • 1

    A 72-year-old woman sustained a high-energy both-column acetabular fracture 10 years after total hip arthroplasty.

  • 2

    Intraoperative assessment confirmed the stability of the acetabular component, allowing for its retention during surgery.

  • 3

    The lateral rectus abdominis approach facilitated direct exposure for anatomic reduction and robust fixation of the fracture.

  • 4

    Two contoured reconstruction plates were used to reconstruct the anterior and posterior columns and quadrilateral surface.

  • 5

    This case highlights the importance of assessing acetabular component stability in managing traumatic periprosthetic fractures.

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