ABSTRACT
SUMMARY: The inferior glenoid and scapular neck are common locations for scapular fractures. Operative exposures for reduction and fixation can be challenging, and frequently, the proximal fracture planes are not conducive to optimal fixation with a plate alone. The purpose of this article was to describe a new technique for enhancing fixation in specific inferior glenoid fractures using a single cortical lag screw.
Subject(s)
Bone Screws , Fracture Fixation, Internal , Fractures, Bone , Scapula , Humans , Scapula/injuries , Scapula/surgery , Fracture Fixation, Internal/methods , Fracture Fixation, Internal/instrumentation , Fractures, Bone/surgery , Male , Treatment Outcome , Female , Adult , Middle Aged , Glenoid Cavity/surgery , Glenoid Cavity/injuriesABSTRACT
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.