Sabetta E, Venturi B, Specchia L, Bettini N
III Divisione Ortopedia e Traumatologia, Istituto Ortopedico Rizzoli, Bologna.
Ital J Orthop Traumatol. 1991 Jun;17(2):217-24.
The authors report 9 cases of acetabular fracture, 6 recent complex and 3 inveterate, treated surgically through the lateral incision of Letournel. This approach provides excellent exposure of the acetabulum, the iliac wing, the posterior column, and the anterior column up to the iliopectineal eminence. Nevertheless, the high incidence of often serious complications makes the combined anterior-posterior approach preferable for severe inveterate fractures of the acetabulum.
作者报告了9例髋臼骨折病例,其中6例为近期复杂骨折,3例为陈旧性骨折,均通过勒图尔内尔外侧切口进行手术治疗。该入路能很好地显露髋臼、髂骨翼、后柱以及直至髂耻隆起的前柱。然而,由于常出现严重并发症的高发生率,对于严重的陈旧性髋臼骨折,前后联合入路更为可取。