Yu Jung Kuang, Chiu Fang-Yao, Feng Chi-Kuan, Chung Tien-Yow, Chen Tien-Hsiung
Department of Orthopedics and Traumatology, Veterans General Hospital-Taipei, National Yang-Ming University, No. 201, Sec. 2, Shi-Pai Road, Taipei, Taiwan, ROC.
Injury. 2004 Aug;35(8):766-70. doi: 10.1016/j.injury.2003.09.036.
We evaluated the results of open reduction and internal fixation of displaced posterior wall and posterior column fractures of the acetabulum. This was a prospective clinical evaluation of such cases where the main surgical strategy was open reduction and internal fixation with interfragmentary screws and reconstruction plates. Data on 11 patients treated by open reduction (all via Kocher-Langenbech approach)/internal fixation with interfragmentary screws and reconstruction plates were collected. The follow-up period was 61 (18-102) months. Reduction with a fracture gap of less than 2mm without articular stepping was achieved in all 11 cases. Postoperative complications developed in five patients, including subcutaneous haematoma in one, avascular necrosis of the femoral head (AVNFH) in one and heterotopic ossification (HO) in three. All but the patient with AVNFH, had anatomic radiological reduction, and good to excellent functional results. Open reduction and internal fixation with interfragmentary screws and reconstruction plates is the treatment of choice in displaced posterior wall and posterior column fractures of the acetabulum.
我们评估了髋臼后壁和后柱移位骨折切开复位内固定的结果。这是对此类病例的一项前瞻性临床评估，主要手术策略是采用骨折间螺钉和重建钢板进行切开复位内固定。收集了11例采用切开复位（均通过Kocher-Langenbech入路）/骨折间螺钉和重建钢板内固定治疗患者的数据。随访期为61（18 - 102）个月。11例患者均实现了骨折间隙小于2mm且无关节台阶的复位。5例患者出现术后并发症，包括1例皮下血肿、1例股骨头缺血性坏死（AVNFH）和3例异位骨化（HO）。除AVNFH患者外，所有患者均实现了解剖学放射学复位，功能结果良好至优秀。采用骨折间螺钉和重建钢板进行切开复位内固定是髋臼后壁和后柱移位骨折的首选治疗方法。
