Malgaigne pelvic fractures

Case contributed by Dr Pir Abdul Ahad Aziz Qureshi

Presentation

RTA

Patient Data

Age: 45 years
Gender: Male
X-ray

Displaced fracture of the left iliac blade. Fractures are also seen involving the left inferior and superior pubic rami and displacement of the fractured bony fragment into the pelvis. Note there is disturbance of iliopectineal and ilioischial lines indicating involvement of the anterior and posterior acetabular columns.

X-ray

Post-operative x-ray after screw and plate fixation.

Case Discussion

Malgaigne fracture is an unstable type of pelvic fracture, which involves one hemipelvis, and results from vertical shear energy vectors.

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