Acetabulum Fracture Cases

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The Posterior wall acetabulum fractures are the most common acetabulum fracture. Most of this fracture requires surgical intervention. Less invasion treatment planning, choice of suitable surgical approach, minimal injury to the soft tissue, muscles, nerves and blood vessels, anatomical reduction maneuvers and surgical fixations are most important for best surgical reconstruction.
The aim of our study is less invasive posterior approach, small incision, minimal bluntly splitting of gluteus minimus muscle,less soft tissue and muscle injury, less blood vessels injury; to give the patient rigid fixation and functional hip, minimizing the complications and fixation in short period. So that, the postoperative mobilization of the patient could be faster than
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Patient was brought to us within 2 hrs. Patient complained of tenderness, pain, swelling, and decrease range of motion. Patient was conscious and cooperative. He denies history of hypertension, heart disease, diabetes, hepatitis, tuberculosis or any infectious disease, no drugs allergic history, no blood transfusion, and any hereditary disease. At the time of admission, patient had severe pain, bruise over left thigh and difficulty in moving left leg. On physical examination, vitals are: T: 37.5 degree C, pulse 90b/m, R 20b/m, BP: 130/80mmHg. His skin was soft and dry, non cyanotic or clubbing nail beds, fine hair and no lesion on scalp, equal pupils, reactive to the lights and round with intact extra ocular movement. There was no redness or exudates on his pink conjunctiva, no lesions in eyelids, no bleeding from eyes vessels and no icterus on sclera and sharp funi-discs. Patient and free of cerumen external auditory canals, landmarks were visible in the intact tympanic membrane, no lesion in auricles, there wasn’t erythema or exudates on the moist mucus membrane, intact hearing.

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