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Total hip replacement in Protrusio acetabuli
Dr.A.K.Venkatachalam
MS Orth, DNB Orth, FRCS, M.Ch Orth
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Orthopaedic surgeon, Chennai, India
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THR in protrusio acetabuli
• 49 year old Indian female• Fall from height of ten feet• Transverse acetabular fracture• Protrusio acetabuli• Shortening of 2 inches
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AP x ray
Kohler’s line
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CT pelvis
Transverse fracture of acetabulum
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Transverse slice through right acetabulum showing intact columns
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Planning for total hip replacement
• Acetabular position and sizing.
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Intra op x ray with trial components
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Post op x ray
Centre of hip
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