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The Journal of Bone and Joint Surgery 82:219-24 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

A Transverse Acetabular Nonunion Treated with Computer-Assisted Percutaneous Internal Fixation. A Case Report*

ROBERT D. ZURA, M.D.{dagger} and DAVID M. KAHLER, M.D.{dagger}, CHARLOTTESVILLE, VIRGINIA

Investigation performed at the Department of Orthopaedics, University of Virginia, Charlottesville


   Introduction
 
Nonunion of a fracture of the acetabulum is a rare clinical entity. The preferred treatment for this lesion is rigid internal fixation7. We present a case in which a painful nonunited transverse acetabular fracture was treated with the use of minimally invasive, computer-assisted internal fixation with cannulated screws.


   Case Report
 
A twenty-four-year-old woman was the unrestrained driver of an automobile involved in a side-impact accident with another motor vehicle in August 1996. She had no history of medical problems and did not smoke. She weighed more than 100 pounds (forty-five kilograms) more than her ideal body weight. Emergency evaluation at another institution revealed a juxtatectal (directly adjacent to the weight-bearing dome) left transverse acetabular fracture with approximately five millimeters of displacement (Fig. 1). On the basis of the patient's body habitus, nonoperative treatment was recommended and the patient was not placed in skeletal traction. She was rapidly advanced to . . . [Full Text of this Article]


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