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 thank the doctors at NYP/HSS for giving me my life back.”

    ~ Caitlyn Kearns

    Read Full Story

  • “We could not have wished for a better outcome given a very severe and untimely injury.”

    ~ James DeSousa

    Read Full Story

  • “They were able to piece me back together where others were not.”

    ~ J. D. Pelaez

    Read Full Story

  • “The entire hospital staff were just amazing from the instant we rolled through the doors throughout the entire stay.”

    ~ Victor Katz

    Read Full Story

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

    ~ Herve Duteil

    Read Full Story

  • “I will be forever grateful to these amazing doctors.”

    ~ Olivia D’Angelo

    Read Full Story

  • “It is thanks to them that my pain is kept under control and that I am walking again today.”

    ~ Anika Vorndamme-Cajigal

    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