Acetabular Fixation Treatment with the Curvafix IM System - Case Study
A 28-year-old male complained of left hip pain after a motor vehicle accident. There were no other significant injuries to be addressed.
AP pelvis x-ray showed left hip fracture dislocation. Computed tomography (CT) confirmed a transverse posterior wall fracture pattern with a very comminuted posterior wall and some osteochondral fragments in the joint. The transverse component of the fracture was not significantly displaced.
The patient was placed prone on a Jackson spinal table and the case proceeded with a Kocher-Langenbeck approach. A large femoral distractor was used to enable removal of the osteochondral fragments in the joint (after which the transverse fracture was well aligned) and the hip was reduced. An angled jaw clamp was used to reduce and hold the anterior column component of the fracture.
Using the implant technique, a curved tunnel was made down the anterior column across the reduced transverse fracture.
The CurvaFix IM Implant (110 mm in length) was inserted with the clamp in place to maintain the reduction until the implant was in its final position and locked.