Wei Peng, Song Chaoming, Ming Wei
Department of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan, 637000, PR China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2006 Aug;20(8):838-9.
To evaluate the effect of the modified extended iliofemoral approach on treating complex acetabular fractures.
Thirty-six cases of complex acetabular fractures were treated by the open reposition and internal fixation by a modified extended iliofemoral approach.
Thirty-six cases were followed up for 7-46 months, with an average of 23.8 months. According to the Matta standard, anatomical reposition was performed in 24 cases, perfect reposition in 8 cases, and unsatisfactory reposition in 4 cases. By the modified d'Aubigne-postel score, among the 36 cases, 22 had an excellent result, 9 had a good result, and 5 had a poor result.
The modified extended iliofemoral approach facilitates the operative exposure of the anterior and posterior walls and both columns of the acetabulum in the surgically-treated acetabular fractures by the open reposition and internal fixation. Because of the reconstruction, the functions of the abductor muscle mass managed by the lag-screw-fixed osteotomies of the iliac crest, and greater trochanter, the patients can achieve a rapid rehabilitation of the joint.
评估改良扩大髂股入路治疗复杂髋臼骨折的效果。
采用改良扩大髂股入路切开复位内固定治疗36例复杂髋臼骨折。
36例均获随访，随访时间7～46个月，平均23.8个月。按Matta标准，解剖复位24例，满意复位8例，不满意复位4例。按改良d'Aubigne - postel评分，优22例，良9例，差5例。
改良扩大髂股入路有助于切开复位内固定手术治疗髋臼骨折时髋臼前后壁及双柱的显露。由于采用了重建技术，通过髂嵴及大转子的拉力螺钉截骨术管理外展肌块，患者可实现关节的快速康复。
