Fracture treatment in older patients

A 63-year-old female fell from a standing height. Radiographs taken at the outside hospital revealed an Anterior Column Type acetabular fracture with displacement of the quadrilateral surface and medial femoral head protrusion.

A CT-Scan was also performed to further delineate the fracture pattern. She was transferred to the us for definitive management. Open reduction and internal fixation (ORIF) was performed through an ilioinguinal approach with placement of plates and screws.

The patient continued to return for regular follow-up visits and had an excellent result. At her most recent follow-up visit at 9 years she has excellent clinical and radiographic results and a full return to her pre-injury status and activities of daily living.

  • Figure A

    Figure A

    Radiographs demonstrating a right-sided Anterior Column acetabular fracture with displacement of the quadrilateral surface and medial femoral head protrusion (arrow).

    Enlarge

  • Figure B

    Figure B

    CT Scan images further delineating the fracture pattern.

    Enlarge

  • Figure C

    Figure C

    Postperative AP and Judet radiographs (left) and postoperative CT scan images illustrating a satisfactory reduction and placement of hardware.

    Enlarge

  • Figure D

    Figure D

    Radiographs 9 years following surgery demonstrating an excellent result with maintenance of reduction.

    Enlarge

Tags:

Our Patients

  • “I can live a normal life and enjoy life once again.”

    ~ Ron Pollicino

    Read Full Story

  • “They are a huge part of the progress I have made.”

    ~ Larry Nipon

    Read Full Story

  • “The level of expertise and care is beyond imagination. Dr. Helfet is an artist.”

    ~ Herve Duteil

    Read Full Story

  • “I was able to return to my passion, which was skiing big mountains.”

    ~ Tim DiPietro

    Read Full Story

  • “I immediately felt taken care of and safe after a traumatic time.”

    ~ Kathleen Wells

    Read Full Story

  • “I got back up on my snowboard a month ago!”

    ~ Patricia Sykes

    Read Full Story

  • “There was the possibility for the first time to live a full and adventurous life that I had always dreamed of.”

    ~ Devon Reynolds

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 
212-606-1888

Dean G. Lorich, MD
212-746-4509

David S. Wellman, MD
212-606-1504