A challenging case of Pelvi-Acetabular fracture in a patient with Achondroplasia.


Biju BENJAMIN1, Juzaily Fekry LEONG1, Anand KULKARNI2, Dipo Samuel OLABUMUYI1, Ketan PANDE1

1Department of Orthopaedics and 2Department of Anaesthesia, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam



Achondroplasia is characterized by dwarfism and typical changes in the size and shape of bones particularly of the pelvis. Additional anatomical features and presence of co-existing medical problems, poses significant anaesthetic problems. Pelvic and acetabular fractures in achondroplasia are rare and there is a scarcity of literature about management of these fractures. We report a case of 55 years old lady with achondroplasia who sustained pelvi-acetabular fracture that was successfully managed by two staged surgery, to highlight the orthopaedic and anaesthetic challenges.


Key words: Achondroplasia, pelvic, acetabulum, fracture


Correspondence author: Dr Ketan C Pande

Clinical Specialist in Orthopaedics, Department of Orthopaedics, RIPAS Hospital, Negara Brunei Darussalam.

Email: ketanpande@yahoo.com

Tel: +673 2242424 ext 5614, Fax:  +673 2242690



Brunei Int Med J. 2017; 13 (2): 69-72