Acetabular fractures and open fractures
- VernacularTitle:髋臼骨折与开放骨折
- Author:
Tieliang ZHANG
- Publication Type:Journal Article
- Keywords:
Acetabular fracture;
Open fracture;
Diagnosis;
Treatment
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
With the rapid development of the tra ffic,acetabular fractures and open fractures resulted from high energy injuries occur more freq uently.A combined examination of ro entgenogram,CT scanning and the three-dimensional imaging of the spiral CT helps make an accurate diagnosis of a cetabulum fractures.At present,the fracture is usually classified a ccording to the Letournel classific ation and AO classification.The ind ications for conservative treatment of this frac ture are limited,while surgical tre atment is more often the choice.In th e treatment,good reduction,rigid in ternal fixation and early functional recovery are essential.Much care,however,should be given to the selection of th e operation approach,prevention of complications such as damage to the sciatic nerve,heterotopic ossific ation and venous thrombus.As for the open fracture,thorough debridemen t,fixation,and suturing of the wound a t a possibly early stage are generally recommended.Care should also be given to proper administration of antibio tics and early functional recovery i n order to promote the union of the fra cture and the recovery of the functions.[
