Schmidt-Rohlfing B, Reilmann H, Pape H-C
Klinik für Orthopädie und Unfallchirurgie, Schwerpunkt Unfallchirurgie, Universitätsklinikum der RWTH Aachen, Deutschland.
Unfallchirurg. 2010 Mar;113(3):217-29. doi: 10.1007/s00113-010-1748-1.
Fractures of the acetabulum are a challenge in terms of orientation and the surgical skills of the orthopedic trauma surgeon. Due to the surrounding soft tissues and because of the indirect reduction control, operative treatment of acetabular fractures can be very demanding. This review includes the anatomical and clinical features, the radiological diagnostic approach, the classification systems, and, in particular, the surgical approaches and treatment principles. The work houses for surgical approaches are the ilioinguinal and the posterior (Kocher-Langenbeck) approach. In view of the high complication rate, the extended approaches are of less relevance. The therapeutic relevance of recent developments including navigation is discussed.
髋臼骨折在骨折方向以及骨科创伤外科医生的手术技巧方面都是一项挑战。由于周围的软组织以及间接复位控制，髋臼骨折的手术治疗要求可能非常高。这篇综述涵盖了解剖学和临床特征、放射学诊断方法、分类系统，尤其是手术入路和治疗原则。手术入路的常用方法是髂腹股沟入路和后方（科克伦-兰根贝克）入路。鉴于高并发症发生率，扩大入路的相关性较低。文中还讨论了包括导航技术在内的最新进展的治疗相关性。
