Bilateral Anterior Column Acetabulum Fracture following Road Traffic Accident: A Rare Presentation.

Introduction: Bilateral anterior column acetabulum fractures in literature have been reported due to osteoporosis and seizure disorders. Very few cases have been reported after road traffic accident (RTA) and that too in a young patient without osteoporosis. We present a similar case in a young patient following a high-velocity injury managed with open reduction and internal fixation (ORIF).

Case Report: A 28-year-old male presented with bilateral anterior column acetabulum fracture following RTA. The patient was initially admitted to emergency and stabilized hemodynamically. He was operated later with ORIF on both sides using ilioinguinal approach. At 1-year follow-up, the patient is able to walk, squat, and do routine activities without pain and fracture healed uneventfully.

Discussion: Acetabulum fractures are known for their complex nature and difficulty in management. We have seen this challenging case of bilateral anterior column acetabulum fracture following RTA, which has not been reported earlier and managed with open reduction and internal fixation with excellent results.

Conclusion: This is among the few reported cases of bilateral anterior column acetabulum fracture due to high-velocity injury following RTA. The pattern of injury clarifies the complexity of acetabular fractures and challenges associated with treating these injuries. Such injuries will be more common in future due to increasing incidence of high-velocity trauma.