Neglected Iliac Wing Fracture with Protrusio Acetabuli and Lumbar Hernia – A Rare Case Report and Surgical Rationale
Year: 2026
Type: article
Abstract: Introduction: 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. Case Report: 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. Conclusion: 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.
Institution: All India Institute of Medical Sciences
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $250
OpenAlex ID: W7225563454