total hip replacement in protrusio acetabuli

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Total hip replacement in Protrusio acetabuli Dr.A.K.Venkatachalam MS Orth, DNB Orth, FRCS, M.Ch Orth www.hipsurgery.in Orthopaedic surgeon, Chennai, India www.hipsurgery.in

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Planning and performance of a total hip replacement for a case of neglected acetabular fracture. Surgery performed by Dr.A.K.Venkatachalam of www.hipsurgery.in.

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Page 1: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

Total hip replacement in Protrusio acetabuli

Dr.A.K.Venkatachalam

MS Orth, DNB Orth, FRCS, M.Ch Orth

www.hipsurgery.in

Orthopaedic surgeon, Chennai, India

Page 2: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

THR in protrusio acetabuli

• 49 year old Indian female• Fall from height of ten feet• Transverse acetabular fracture• Protrusio acetabuli• Shortening of 2 inches

Page 3: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

AP x ray

Kohler’s line

Page 4: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

CT pelvis

Transverse fracture of acetabulum

Page 5: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

Transverse slice through right acetabulum showing intact columns

Page 6: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

Planning for total hip replacement

• Acetabular position and sizing.

Page 7: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

Intra op x ray with trial components

Page 8: Total hip replacement in protrusio acetabuli

www.hipsurgery.in

Post op x ray

Centre of hip