78 year old gentleman, hypertensive and well controlled diabetic sustained a both coloumn fracture rt. acetabulum following a fall down the steps. Relevant 3D pics are attached.

















Comments please

In view of his age and communition we planned ORIF and primary THR. His haemoglobin was 8 gms we made us think of 1. fixing the posterior column and wall and use a multiholed cup if good,stable posterior superior host bone contact is obtained or 2.cage if we cant get the same.





attached are the pics with good posterior superior contact and primary THR. Host bone autografy used medialy to avoid protrusio.
On your rt is the 3 month xray and is now full wt bearing> no migration detected yet.