Preoperative CT of impaction of the articular surface

In select cases of elderly acetabular fracture, Mayo orthopedic surgeons perform an innovative early total hip arthroplasty (ETHA). In ETHA, 2 surgical procedures are completed in a single operation, which is less disruptive to quality of life and reduces the deconditioning seen in serial procedures. The second of 3 images from a 79-year-old woman who underwent ETHA at Mayo for injury to the right hip sustained when she fell off a step shows, B, preoperative CT of impaction of the articular surface and involvement of the ilium.