Surgical technique in treatment of displaced acetabular fracture
10.3760/cma.j.issn.1001-8050.2011.10.018
- VernacularTitle:移位髋臼骨折手术治疗技巧探讨
- Author:
Yufeng ZHANG
;
Zhigang ZHONG
;
Xueli QIU
;
Bendan LIN
;
Shuxin CHEN
- Publication Type:Journal Article
- Keywords:
Acetabulum;
Fracture fixation,internal;
Operative approach
- From:
Chinese Journal of Trauma
2011;27(10):924-928
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the method and surgical technique in treatment of the displaced acetabular fracture.Methods The study involved 66 patients with displaced acetabular fracture treated operatively with reconstruction plates from August 2005 to June 2009.Based on the fracture typing,the surgical techniques including anterior ilioinguinal,posterior Kocher-Langenbeck,combined ilioinguinal and Kocher-Langenbeck and Y shaped approach were performed in 12,30,22 and 2 patients,respectively.Results The operation time was mean 3.4 hours(1.5-6.5 hours),with mean blood loss of 550 ml(range,350-1 200 ml).All patients were followed up for average 29 months(range,12-46 months).According to Matta evaluation standard,the reduction of acetabular fracture was anatomical in 34 patients,imperfect in 25 and unsatisfactory in seven.According to the modified Merled' Aubigne and Postel clinical evaluation standard,the clinical outcome was graded as excellent in 23 patients,good in 29,fair in eight and poor in six.Conclusion The factors key to successful operation include correct fracture classification,good approach anatomy,proficient technique of reduction and fixation,and reasonable perioperation measures.
