Gänsslen A, Pohlemann T, Krettek C
Unfallchirurgische Klinik, Medizinische Hochschule, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany.
Unfallchirurg. 2004 Mar;107(3):232-5. doi: 10.1007/s00113-003-0706-6.
Anatomical reconstruction and stable internal fixation is the treatment of choice in displaced acetabular fractures. Marginal impaction zones are of negative prognostic value. They are normally treated with a cancellous bone graft from the greater trochanter. In the presented case, a secondarily failed acetabular reconstruction with redisplacement of the acetabular dome was treated with several corticocancellous blocks filled in the dome defect. In this case, a comminuted area and secondary displacement could be successfully treated with anatomical reconstruction. This resulted in joint congruency and an acceptable long-term result after 16 years.
解剖重建和稳定的内固定是移位髋臼骨折的首选治疗方法。边缘嵌压区具有不良预后价值。它们通常采用取自大转子的松质骨移植进行治疗。在本病例中，髋臼重建继发失败且髋臼顶再移位，采用多个皮质松质骨块填充髋臼顶缺损进行治疗。在该病例中，粉碎区域和继发移位通过解剖重建得以成功治疗。这实现了关节的一致性，并在16年后获得了可接受的长期结果。
