An Acetabular Fracture with a Series of Complications and Their Solutions: A Notable Case Report

Abstract

Acetabular fractures are associated with various complications such as neurovascular injuries, post-traumatic arthritis, osteonecrosis of the femoral head, difficulty in arthroplasty, etc. Total Hip Arthroplasty (THA) is one of the most successful surgeries done for post-traumatic arthritis of hip joint. THA itself is associated with numerous complications such as intraoperative haemorrhage, infection, deep vein thrombosis, malpositioning of implants, instability, dislocation, and aseptic loosening. We herein report a case of post-traumatic arthritis of hip following acetabular fracture ten years back, who was operated on with total hip arthroplasty. Various complications were encountered during the management of the patient. The patient developed prosthetic joint infection and was operated with implant removal and antibiotics cement spacer application followed by revision arthroplasty with mega prosthesis, which dislocated following a dashboard injury and had undergone open reduction.