Post-traumatic Acetabulum Open Reduction Internal Fixation in a Patient with a BMI of 77 A Case Report

Lily Qian, Indraneel S. Brahme, Mai P. Nguyen, David J. Weatherby

Research output: Contribution to journalArticlepeer-review

Abstract

Case: We present the case of a 25-year-old man with body mass index of 77 who underwent open reduction internal fixation (ORIF) of a displaced fracture dislocation of the acetabulum after a high-speed motor vehicle accident. Remarkably, he achieved full weight-bearing with minimal hip pain and has returned to independent mobility and meaningful work. Conclusion: ORIF of an acetabular fracture in a patient with class III obesity presents many challenges. Positioning, surgical approach, fracture manipulation, and postoperative morbidity and mortality can be managed through interdisciplinary collaboration and preoperative communication.

Original languageEnglish (US)
Article numbere23.00529
JournalJBJS case connector
Volume14
Issue number1
DOIs
StatePublished - Mar 7 2024

Bibliographical note

Publisher Copyright:
COPYRIGHT © 2024 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED.

Keywords

  • acetabular fracture
  • acetabulum ORIF
  • buttress plate
  • male
  • motor vehicle accident
  • pain
  • restricted ROM
  • sciatic nerve
  • severe obesity
  • young adult

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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