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Total hip replacement in
  Protrusio acetabuli
       Dr.A.K.Venkatachalam
MS Orth, DNB Orth, FRCS, M.Ch Orth
         www.hipsurgery.in
Orthopaedic surgeon, Chennai, India


             www.hipsurgery.in
THR in protrusio acetabuli
•   49 year old Indian female
•   Fall from height of ten feet
•   Transverse acetabular fracture
•   Protrusio acetabuli
•   Shortening of 2 inches




                    www.hipsurgery.in
AP x ray

                     Kohler’s line




 www.hipsurgery.in
CT pelvis

Transverse
fracture of
acetabulum




               www.hipsurgery.in
Transverse slice through right
acetabulum showing intact columns




             www.hipsurgery.in
Planning for total hip
      replacement
• Acetabular position and sizing.




            www.hipsurgery.in
Intra op x ray with trial
      components




         www.hipsurgery.in
Post op x ray

Centre of hip




                   www.hipsurgery.in

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