Liu Qiang, Wu Dou, Li Ping, Han Shu-feng
Department of Orthopedics, First Affiliated Hospitalì Shanxi Medical University, Taiyuan 030001, China.
Chin J Traumatol. 2006 Dec;9(6):325-8.
To explore the effect of surgical treatment on complex acetabular fractures.
The data of 46 patients (38 males and 8 females, aged 16-75 years, mean equal to 38.5 years) with complex acetabular fractures, who were admitted to our hospital from January 1998 to December 2005, were analyzed retrospectively in this study. According to Letournel rules, posterior wall and posterior column fractures were found in 11 patients, transverse and posterior wall fractures in 13, T-type fracture in 4, both columns fracture in 10, and anterior column and posterior transverse fracture in 8. The choice of surgical approach was based on the individual fractures, which included ilioinguinal approach in 5 patients, Kocher-Langenbech approach in 7, combined approach in 26, and extended iliofemoral approach in 8.
All the patients were followed up for 3.5 years averagely. The clinical outcomes were analyzed with Harris hip score and radiography. In 36 patients (78.3%), the surgical procedure was successful (Harris hip score more than 80 points). The rate of excellent and good was about 86%.
The keys to increase the effectiveness of surgical treatment on acetabular fractures are correct preoperative classification of fractures and choices of appropriate surgical approach and time.
探讨手术治疗复杂髋臼骨折的效果。
回顾性分析我院1998年1月至2005年12月收治的46例复杂髋臼骨折患者的资料（男38例，女8例，年龄16 - 75岁，平均38.5岁）。根据Letournel分型，后壁和后柱骨折11例，横行和后壁骨折13例，T型骨折4例，双柱骨折10例，前柱和后横骨折8例。手术入路根据个体骨折情况选择，其中髂腹股沟入路5例，Kocher - Langenbech入路7例，联合入路26例，扩大髂股入路8例。
所有患者平均随访3.5年。采用Harris髋关节评分及影像学检查对临床疗效进行分析。36例（78.3%）手术成功（Harris髋关节评分大于80分）。优良率约为86%。
提高髋臼骨折手术治疗效果的关键在于术前正确的骨折分型、选择合适的手术入路及手术时机。
