Case #1: 30 year old male s/p RTC with bilateral acetabular fractures. He presented with bilateral hip dislocations and had bilateral traction pins placed upon presentation.
Case #2: 27 year old female involved in a RTC. First went to government hospital and told to go to Tenwek. Arrived 48 hours after sustaining her injury.
|Right Vertical Shear Sacroiliac Joint Disruption with Left Pubic Root Fracture and Pubic Symphysis Disruption.|
|Postop: S1 & S2 Trans-Sacral Trans-Iliac Percutaneous Screw Fixation. Decision was made not to fix front of pelvic ring because of the extent of surgical approach required to fix it.|
Case #3: 35 year old male who presented (on my first call night) with left hip dislocation. Hip was reduced but found to have intraarticular fragments and large Hill-Sachs lesion of femoral head.
|Left hip dislocation, Posterior Wall Acetabular Fracture|
|CT Scan: Left Posterior Wall Acetabular fracture, Intraarticular Fragment, Hill-Sachs lesion of Femoral Head|
|Postop: ORIF Left Posterior Wall Fracture, Removal of Intraarticular Fragments, 3.5 mm Recon Plate|
Case #4: 29 year old male who sustained a Right Acetabular Fracture and Right Distal Radius/Ulna fracture in a ... you guessed it - road traffic crash!
|Postop: Right Transverse Posterior Wall Acetabular Fracture. Percutaneous fixation attempted to reduce the articular stepoff along the posterior column. Posterior wall fragment was minimally displaced. Fracture did not compress well likely because surgery occurred nearly 3 weeks after the injury. Percutaneous fixation has been used at Tenwek a handful of times with good results if the fractures are fixed acutely.|