Haverkamp D, Luitse J S K, Eijer H
Department of Orthopedic Surgery, University Hospital, Academical Medical Centre, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands.
Arch Orthop Trauma Surg. 2004 Oct;124(8):527-30. doi: 10.1007/s00402-004-0731-0. Epub 2004 Aug 31.
Acetabular fractures remain a challenge for the orthopedic and trauma surgeon, with frequently poor outcome in terms of pain and lack of motion and high rate of posttraumatic arthritis especially in badly reconstructed fractures where the anatomy was not restored. Surgical treatment of malunited acetabular fractures is often necessary, although it can be very complex.
We report a young woman who sustained both column fracture with central dislocation of the femoral head in which the posterior wall fragment was initially not fixed anatomically.
Surgical dislocation of malunited acetabular fractures is a relatively new therapeutic option that provides full access to the femoral head and acetabulum without compromising the blood supply to the femoral head. Our results show that it can also be of great help in restoring malunited acetabular fractures.
髋臼骨折对于骨科和创伤外科医生来说仍然是一项挑战，在疼痛、活动受限方面预后常常不佳，创伤后关节炎发生率高，尤其是在解剖结构未恢复的严重重建骨折中。尽管手术治疗愈合不良的髋臼骨折可能非常复杂，但往往是必要的。
我们报告一名年轻女性，她发生了双侧髋臼柱骨折并伴有股骨头中心脱位，其中后壁骨折块最初未进行解剖复位固定。
手术脱位治疗愈合不良的髋臼骨折是一种相对较新的治疗选择，可在不影响股骨头血供的情况下充分显露股骨头和髋臼。我们的结果表明，它对恢复愈合不良的髋臼骨折也有很大帮助。
