Operative treatment of acetabular fractures
- VernacularTitle:髋臼骨折的手术治疗探讨
- Author:
Guanglin JI
;
Fangtian XU
;
Dongbao WU
- Publication Type:Journal Article
- Keywords:
acetabulum;
classification;
operative approach;
fracture fixation
- From:
Orthopedic Journal of China
2006;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the method for operative treatment of acetabular fractures and assess corresponding results.MethodTotally 34 cases of acetabular fractures treated operatively from February 2000 to December 2005 were reviewed. There were 22 males and 12 females, with an average age of 39 years (16 to 61).On the basis of X-ray and computed tomography,all fractures were classified according to the Letournel-Judet classification,13 cases were simple fractures and 21 complicated ones. Kocher-Langenbeck approach(23 cases),illioinguinal approach(6 cases) and anterior combined posterior approach(5 cases) were adopted for different fractures with reconstruction plates and screws.The mean operation time was 150 min.The average blood loss was 600 mL.ResultAll cases were followed up for average 31 months(12 to 64 months).According to the criteria of Matta radiographicgrade,there were 18 cases with anatomic reduction, 9 with satisfactory reduction,3 with unsatisfactory reduction and 4 with joint contour reduction.Based on the modified Merle D' Aubigne and Postel clinical grading system for joint functions,11 cases(32.4%)showed excellent results,15(44.1%)good,4(11.8%)fair and 4(11.8%)poor. The excellent and good rate for anatomic and satisfactory reduction groups were 85.2%,while unsatisfactory reduction and joint contour reduction were 42.9%(P
