Full Text (PDF)
Journal of Orthopedic Education 12(2):p 43-46, May-August 2026. | DOI: https://doi.org/10.21088/joe.2454a.7956.12226.2
Case Report
Right Ipsilateral Acetabulum Fracture with Compound Type 3 Comminuted Intra-articular Lower 1/3rd Femur with Quadriceps Tendon Avulsion from Patella
R B Uppin, Ravi B Patil, Halesh NB, Shivaraj null, S.G Vastrad, S S Gatawalimath, Nasim UL Haque
Author Information
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Journal of Orthopedic Education 12(2):p 43-46, May-August 2026. | DOI: https://doi.org/10.21088/joe.2454a.7956.12226.2
How Cite This Article:
R B Uppin, Ravi B Patil, Halesh NB et al. Right Ipsilateral Acetabulum Fracture with Compound Type 3 Comminuted Intra-articular Lower 1/3rd Femur with Quadriceps Tendon Avulsion from Patella. Jr. Orth. Edu. 2026; 12(2): 43–46.Timeline
Received : June 27, 2026
Accepted : August 02, 2026
Published : August 30, 2026
Abstract
We report an exceptionally rare and complex polytrauma in a 38-year-old male who sustained a right acetabulum fracture (Posterior column and wall fracture with Anterior column fracture) in combination with an ipsilateral open (GustiloAnderson Type 3) comminuted intra-articular distal femur fracture involving the lower one third of the femoral shaft, further complicated by a complete avulsion of the quadriceps tendon from the patella in a single limb. Such combined injuries present extraordinary challenges to the orthopaedic surgeon, requiring a staged, multidisciplinary approach to optimize functional recovery. This case highlights the importance of systematic injury assessment, meticulous wound management, staged surgical planning, and intensive rehabilitation in achieving a satisfactory outcome.
References
- 1. Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. J Bone Joint Surg Am. 1964;46:1615–1646.
- 2. Müller ME, Nazarian S, Koch P, Schatzker J. The Comprehensive Classification of Fractures of Long Bones. Berlin: Springer; 1990.
- 3. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984;24(8):742–746.
- 4. Krieg JC. Distal femoral fractures. J Am Acad Orthop Surg. 2009;17(12):766–776.
- 5. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Joint Surg Am. 1969;51(4):737–755.
- 6. Rorabeck CH, Bobechko WP. Acute dislocation of the patella with osteochondral fracture. J Bone Joint Surg Br. 1976;58(2):237–240.
- 7. Tile M. Fractures of the acetabulum. Orthop Clin North Am. 1980;11(3):481–506.
- 8. Egol KA, Koval KJ, Zuckerman JD. Handbook of Fractures. 5th ed. Philadelphia: Wolters Kluwer; 2015.
- 9. Bhandari M, Jeray KJ, Petrisor BA, et al. A trial of wound irrigation in the initial management of open fractures. N Engl J Med. 2015;373(27):2629–2641.
- 10. Tornetta P 3rd, Riina J, Geller J, Purban W. Intraarticular anatomic risks of tibial nailing. J Orthop Trauma. 1999;13(4):247–251.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
About this article
Cite this article
R B Uppin, Ravi B Patil, Halesh NB et al. Right Ipsilateral Acetabulum Fracture with Compound Type 3 Comminuted Intra-articular Lower 1/3rd Femur with Quadriceps Tendon Avulsion from Patella. Jr. Orth. Edu. 2026; 12(2): 43–46.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| June 27, 2026 | August 02, 2026 | August 30, 2026 |
DOI: https://doi.org/10.21088/joe.2454a.7956.12226.2
Keywords
Acetabulum FractureDistal Femur FractureCompound FractureQuadriceps Tendon AvulsionIpsilateral PolytraumaOpen Reduction Internal FixationExternal FixationStaged SurgerySearch for Similar Articles
Similar Articles
- The Management of Second-Degree Burn Wound without any musculoskeletal complicat...
- Management of Complex Pelvic Injury: Bilateral Acetabular Fractures with Sacroi...
- Multidisciplinary Management of Acute Knee Pain: Case Report
- A Rare Case of Tenosynovial Giant Cell Tumor of the Thumb: Case Report
- A Rare Case Report: Supracondylar Fracture of Humerus Associated with Vaters Syn...
Article Level Metrics
Last UpdatedFriday 14 August 2026, 23:46:08 (IST)
1801
Accesses
4
156
00
Citations
NA
NA
NA
Download citation
Article Keywords
Keyword Highlighting
Highlight selected keywords in the article text.
Timeline
| Received | June 27, 2026 |
| Accepted | August 02, 2026 |
| Published | August 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
