Triple nonunion after steel-like triple pelvic osteotomy

Abstract

Triple pelvic osteotomy (TPO) is a widely known and accepted procedure carried out to treat acetabular dysplasia in adults. According to this technique, osteotomies are performed through the ischium, ilium and pubis in order to mobilize the whole acetabulum. In this article, we report a 30-year-old female patient who was admitted to our outpatient clinic with a complaint of intense pain after standing or walking. Patient had undergone Steel-like TPO for acetabular dysplasia approximately nine months before. After physical and radiological evaluation, patient was diagnosed with triple nonunion. Patient was successfully treated with debridement and grafting at iliac nonunion site followed by refixation with reconstruction plate and screws. A review of the literature did not detect any published studies or case reports regarding symptomatic triple nonunion after TPO using Steel-like method.