Neglected Iliac Wing Fracture with Protrusio Acetabuli and Lumbar Hernia - A Rare Case Report and Surgical Rationale.
- 1Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Abstract
Neglected iliac wing fractures are uncommon and may lead to chronic pelvic deformity, functional disability and associated soft-tissue complications, posing significant reconstructive challenges. Accurate identification of both osseous and soft-tissue sequelae is essential for comprehensive evaluation and management of these complex injuries. A 77-year-old man presented with a 4-year history of progressive right lumbar swelling and 12 years of untreated right hip pain with gait disturbance following blunt pelvic trauma. Examination revealed a reducible lumbar hernia, restricted hip movement and limb length discrepancy. Imaging demonstrated right iliac wing malunion with protrusio acetabuli and lumbar hernia. The patient underwent sequential surgery comprising mesh hernioplasty followed by corrective osteotomy and dual plate fixation with mesh augmentation during the same anesthetic session. At 1 year, there was no evidence of hernia recurrence with marked functional recovery. This report highlights the importance of recognizing late sequelae of untreated pelvic injuries and demonstrates that multidisciplinary surgical collaboration can successfully restore pelvic stability and function.
Related
- Management of Symptomatic Genu Recurvatum: Biomechanical Rationale, Etiology-Based Treatment Algorithm, and a Surgical Technical Blueprint
- An anterior-first two-stage surgical strategy for neglected traumatic facet dislocation of subaxial cervical spine: a technical note.
- Association of Surgical Approach with Intraoperative Femoral Fracture Patterns During Cementless Hemiarthroplasty for Femoral Neck Fracture
- Surgical delay is not associated with increased mortality in Greenlandic hip fracture patients: a 5-year retrospective cohort study.
- Mobile application-based assessment of rotational changes after surgical treatment for pediatric femoral shaft fracture : A retrospective observational study
BibTeX
@article{singla2026neglected,
title = {{Neglected Iliac Wing Fracture with Protrusio Acetabuli and Lumbar Hernia - A Rare Case Report and Surgical Rationale.}},
author = {Ayush Singla and Ankit Rai and Tushar Lalchandani and Jaspreet Shergill and Harmandeep Singh Jabbal and Pankaj K Sharma},
journal = {Journal of orthopaedic case reports},
year = {2026},
month = nov,
doi = {10.13107/jocr.2026.v16.i11.8432},
url = {https://europepmc.org/article/MED/42997120},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Neglected Iliac Wing Fracture with Protrusio Acetabuli and Lumbar Hernia - A Rare Case Report and Surgical Rationale.
AU - Ayush Singla
AU - Ankit Rai
AU - Tushar Lalchandani
AU - Jaspreet Shergill
AU - Harmandeep Singh Jabbal
AU - Pankaj K Sharma
PY - 2026
DA - 2026/11/01
JO - Journal of orthopaedic case reports
DO - 10.13107/jocr.2026.v16.i11.8432
UR - https://europepmc.org/article/MED/42997120
AB - Neglected iliac wing fractures are uncommon and may lead to chronic pelvic deformity, functional disability and associated soft-tissue complications, posing significant reconstructive challenges. Accurate identification of both osseous and soft-tissue sequelae is essential for comprehensive evaluation and management of these complex injuries. A 77-year-old man presented with a 4-year history of progressive right lumbar swelling and 12 years of untreated right hip pain with gait disturbance following blunt pelvic trauma. Examination revealed a reducible lumbar hernia, restricted hip movement and limb length discrepancy. Imaging demonstrated right iliac wing malunion with protrusio acetabuli and lumbar hernia. The patient underwent sequential surgery comprising mesh hernioplasty followed by corrective osteotomy and dual plate fixation with mesh augmentation during the same anesthetic session. At 1 year, there was no evidence of hernia recurrence with marked functional recovery. This report highlights the importance of recognizing late sequelae of untreated pelvic injuries and demonstrates that multidisciplinary surgical collaboration can successfully restore pelvic stability and function.
SN - 2250-0685
SN - 2321-3817
ER -