Operative management of complex acetabular fractures of Letournel classification
- VernacularTitle:Letournel分型复杂髋臼骨折的手术治疗
- Author:
Gang WANG
;
Guoxian PEI
;
Bin CHEN
- Publication Type:Journal Article
- Keywords:
Acetabular fracture;
Classification;
Complex fracture;
Treatment
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the diagnosis and operative treatment of the complex acetabular fractures of Letournel classification. Methods On the basis of the three- dimensional computed tomography, 75 cases of complex acetabular fractures were diagnosed and classified according to Letournel classification. They were treated through the anterior, posterior, combined anterior- posterior and the improved iliofemoral approaches. All the fractures were fixed with screws and AO reconstruction plates. Results All the cases were followed up for 6 to 96 months, with an average time of 46 months. They were evaluated according to D' Aubigne and Pestel criteria for joint functions and Epstein criteria for radiographic manifestation. 34 cases of the series were rated as excellent (45.23% ), 28 case as fine (37.33% ), 8 cases as fair (10.67% ) and 5 cases as poor (6.67% ). Conclusion Enough image data, simulation in vitro on a pelvic specimen, maximal anatomical reduction and appropriate approach are the basis for satisfactory outcomes.
