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The Severe Displaced Acetabular Fracture Fixation Treatment

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Author:
No author available
Journal Title:
CHINA CLINICAL PRACTICAL MEDICINE
Issue:
9
DOI:
10.3760/cma.j.issn1673-8799.2010.09.27
Key Word:
髋臼骨折;移位;手术入路;内固定;Acetabular fracture;Displacement;Surgical approach;Internal fixati

Abstract: Objective To summarize the severe displaced acetabular fracture fixation treatment experience.Methods To have 21 cases of displaced acetabular fractures after surgical treatment of clinical cases of summary and analysis.According to Letoumel-Judet classification:seven cases of transverse fracture,transverse plus posterior wall fracture of nine cases,three cases of double-column fractures.T-shaped fracture in 2 cases.Using Kocher-Langenbeck approach,ilioinguinal approach,and before and after the combined approach to open reduction and internal fixation.Results 21 cases of patients with mean follow-up of 21.5 months.According to American Academy of Orthopedic Surgery Clinical evaluation of the results of the evaluation criteria,the group of eight cases of excellent(38.1%) ,good in 10 cases(47.6%) ,three cases can be(14.3%) ,excellent and good rate was 85.7%.Of which two cases of osteonecrosis of the femoral head occurred,two cases of osteoarthritis,one patient had deep infection,no broken internal fixator.Conclusion Analysis of fracture type,select the appropriate surgical approach,especially before and after the combined approach can improve severe displaced acetabular fracture treatment.

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