Young adult patient came to us with high velocity injury in his right hip region. His xray showed comminuted anterior column Acetabular fracture with posterior wall and column involvement. His ct scan showed ACPHT type injury pattern with major comminution on anterior side. Thus he underwent anterior column fixation first using AIP approach followed by posterior column fixation in single sitting within 4 hrs both columns fixed and stabilized well enough that he allowed to stand next day with support.
Another young patient came all the way from agra with high velocity injury and sustained injury in his right hip that resulted in posterior wall fracture with femur head subluxation and right sided proximal humerusfracture. He took initial treatment in agra in the form of traction and close reduction of head for 2 weeks and some k wires inserted for humerus fracture. His ct scan showed large posterior wall fracture with multiple small pieces in the joint cavity. Thus he planned for posterior wall fracture fixation with plates and joint debridement. Now after fixation he is allowed to mobilize within bed.