III Division of Orthopaedics and Trauma-Gaetano Pini Orthopaedic Institute, P.zza Cardinal Ferrari, 1, 20122 Milan, Italy.
Injury. 2010 Nov;41(11):1145-9. doi: 10.1016/j.injury.2010.08.011. Epub 2010 Sep 15.
Acetabular both-column fractures are challenging articular injuries. They usually require operative treatment. We report on fundamental elements of pathoanatomy and radiology that are reviewed as far as they may influence treatment planning and surgical intervention. Surgical strategy, choice of the most suitable approach, reduction manoeuvres and fixation techniques are presented, together with some tips and tricks that are worth knowing in the surgical reconstruction of these difficult fractures.
髋臼双柱骨折是具有挑战性的关节损伤。它们通常需要手术治疗。我们报告了与病理解剖和放射学相关的基本要素，这些要素在影响治疗计划和手术干预方面进行了回顾。本文介绍了手术策略、最合适入路的选择、复位手法和固定技术，以及在这些复杂骨折的手术重建中值得了解的一些技巧和窍门。
