Surgical treatment of displaced com plex acetabular fractures
- VernacularTitle:移位复杂型髋臼骨折的手术治疗
- Author:
Junying SUN
;
Tiansi TANG
;
Tianhua DONG
- Publication Type:Journal Article
- Keywords:
Acetabulum;
Hip fractures;
Fractur e fixation,internal;
Treatment out come
- From:
Chinese Journal of Orthopaedics
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the surgical techniques and results of displaced complex ac-etabular fractures.Methods Ninety-eight cases of complex type o f acetabular fracture with dislocation were treated with open reduction and inte rnal fixation from March 1990to Sept ember 1999.Of the 98cases,fractures of the posterior column an d wall was seen in 9cases,T -shaped in28cases,transverse and posterior wall in 22cases,anterior and hemi-transverse in 2cases,both column in 37cases.Kocher -Langenbeck approach was adopted in 28cases,ilio-inguinal approach in 21cases,extended iliofemoral approach in 16cases,and double approachs(K -L +ilio-inguinal)in 33cases.Results Sixty-two cases(63.3%)had anatomic reduction,32cases(32.7%)satisfactory reduction,4cases(4.1%)unsatisfactory reduction.The rates of anatomic reduction in the early 4.5years and the latest 4.5years of this study were 50.0%and72.4%respectively.Seventy-eight cases were followed up from 2to 10yea rs,excellent and good rate for clinical results in anatomic and non-anatomic reduction group were 83.9%and 36.4%respectively,the difference was very significant (P
