Treatment of Acetabular Column Fractures with Limited Open Reduction and Screw Fixation.
10.12671/jkfs.2007.20.1.26
- Author:
Jung Jae KIM
1
;
Hyoung Keun OH
;
Sung Yoon KIM
Author Information
1. Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea. jjkim2@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Acetabular column fracture;
Limited open reduction;
Screw fixation
- MeSH:
Acetabulum*;
Follow-Up Studies;
Humans;
Joints;
Soft Tissue Injuries
- From:Journal of the Korean Fracture Society
2007;20(1):26-32
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the results of limited open reduction and screw fixation of acetabular fractures. MATERIALS AND METHODS: Six acetabular fractures were treated with fluoroscopic guided screw fixation. The mean age was 46 years old and mean follow-up period was 18 months. There were 3 anterior column fractures, 2 transverse fractures and 1 both column fracture. Anterior column screw fixation was used in 5 cases and posterior column fixation in 1 case. Limited ilioinguinal approach was used in 4 cases and percutaneous screw fixation in 2 cases. RESULTS: The mean union time was 16.6 weeks. The postoperative radiographic results revealed 2 cases with an anatomic reduction and 4 cases with an imperfect reduction. The clinical results showed 1 case with excellent, 4 cases with good and 1 case with fair. Regarding complication, there was 1 case of SI joint penestration without clinical symptoms. CONCLUSION: Limited open reduction and screw fixation can be a useful alternative treatment for acetabular fractures in patients with minimally displaced fracture, severe multisystem trauma and soft tissue injury not suitable to traditional treatment.
