Giannoudis P V, Kanakaris N K, Dimitriou R, Mallina R, Smith R M
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK.
J Bone Joint Surg Br. 2011 Jul;93(7):970-4. doi: 10.1302/0301-620X.93B7.26105.
Isolated fractures of the anterior column and anterior wall are a relatively rare subgroup of acetabular fractures. We report our experience of 30 consecutive cases treated over ten years. Open reduction and internal fixation through an ilioinguinal approach was performed for most of these cases (76.7%) and percutaneous techniques were used for the remainder. At a mean follow-up of four years (2 to 6), 26 were available for review. The radiological and functional outcomes were good or excellent in 23 of 30 patients (76.7%) and 22 of 26 patients (84.6%) according to Matta's radiological criteria and the modified Merlé d'Aubigné score, respectively. Complications of minor to moderate severity were seen in six of the 30 cases (20%) and none of the patients underwent secondary surgery or replacement of the hip.
髋臼前柱和前壁的孤立性骨折是髋臼骨折中相对少见的一个亚组。我们报告了连续十年间治疗的30例该类病例的经验。大多数病例（76.7%）采用髂腹股沟入路进行切开复位内固定，其余病例采用经皮技术。平均随访四年（2至6年），其中26例可供复查。根据Matta的影像学标准和改良的Merlé d'Aubigné评分，分别有30例患者中的23例（76.7%）和26例患者中的22例（84.6%）获得了良好或优秀的影像学和功能结果。30例病例中有6例（20%）出现了轻至中度并发症，且无一例患者接受二次手术或髋关节置换。
