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48 yr male with history of motorbike accident on 31/3/22 in
Assam.
Obturator View
Iliac View
Post op X ray obturator view
Post op X ray iliac view
Anterior column fixation
• Fracture exposed using ilioinguinal approach
• Pre existing skeletal traction pin was used to for tractioin to
disimpact the femoral head but this was not sufficient.
• Schanz screw with T handle was used to pull the femur
lateraly and infereiorly.
• Now head of femur disimpacted.
• Collinear clamp was used for compression of the fractured
fragments.
• Head of femur came at anatomical site on compression of
collinear clamp.
• Fixation done using matta plate.
Posterior colum fixation
• Kocher and Langenbeck approach.
• Curvilinear incision given in lateral position.
• Fixation done using the Matta plate and one third tubular plate.
• Skeletal traction applied
Pelvis radiographs

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Pelvis radiographs

  • 1. 48 yr male with history of motorbike accident on 31/3/22 in Assam.
  • 4.
  • 5.
  • 6.
  • 7. Post op X ray obturator view
  • 8. Post op X ray iliac view
  • 9. Anterior column fixation • Fracture exposed using ilioinguinal approach • Pre existing skeletal traction pin was used to for tractioin to disimpact the femoral head but this was not sufficient. • Schanz screw with T handle was used to pull the femur lateraly and infereiorly. • Now head of femur disimpacted. • Collinear clamp was used for compression of the fractured fragments. • Head of femur came at anatomical site on compression of collinear clamp. • Fixation done using matta plate.
  • 10. Posterior colum fixation • Kocher and Langenbeck approach. • Curvilinear incision given in lateral position. • Fixation done using the Matta plate and one third tubular plate. • Skeletal traction applied