Novel Hip Containment Technique in Setting of Unstable Hip Joint in a Trauma Setting: A Case Report

Case: A 39-year-old woman who was involved in a motor vehicle collision sustained a right hip posterior wall acetabular fracture-dislocation. Subsequent dislocation was noted at the 4-week point with gross instability and heterotopic ossification. She underwent a hip containment technique using a transfemoral neck tunnel through the quadrilateral surface and FiberTape. At 1-year postoperatively, she reported improvement in mobility without evidence of repeat dislocation.

Conclusion: This technique can be used for unstable hip sockets with a small posterior wall acetabular fracture to maintain hip stability. This is the first reported technique using an open intrapelvic approach to stabilize the hip.