Anterior Column and Anterior Dome Marginal Impaction Acetabular Fracture Treated with a Modified Smith-Petersen Approach along with Anterior Superior Iliac Spine Osteotomy using the Two-level Reconstruction Technique

INTRODUCTION: A case of anterior column (AC) and anterior dome marginal impaction acetabular fracture with concomitant injury of the common femoral artery (CFA) is presented. CASE REPORT: A 31-year-old patient suffered an anterior hip dislocation with ipsilateral fracture of the AC of the acetabulum and anterior dome impaction along with CFA injury. The fracture was treated utilizing the Smith-Petersen approach along with Anterior Superior Iliac Spine osteotomy. The impacted anterior dome and was stabilized using the two-level reconstruction technique. The patient was mobilized the first post-operative day and toe-touch weight bearing was exercised for 12 weeks. At 36 months post-operative, the patient was free of any hip symptoms and no radiographic signs of hip arthritis were present. CONCLUSIONS: This above surgical approach provided adequate exposure of the anterior dome impaction fracture with subsequent excellent reduction and secure fixation. Surgeons treating these types of injuries should be aware of this surgical option.