Sun Da-Hui, Zhao Yi, Zhang Ji-Ting, Qi Bao-Chang
Technol Health Care. 2017 Oct 23;25(5):1021-1024. doi: 10.3233/THC-170830.
Anatomical reduction and rigid fixation of acetabular posterior wall fractures extending to the acetabular roof proves challenging because of the big bony fragment and muscular obstruction to accessing this region. This report describes a novel reconstructive technique in a patient with an acetabular posterior wall fracture involving the acetabular roof. Both the standard Kocher-Langenbeck approach and a greater trochanter osteotomy technique were used. Following anatomical reduction, a dual arc-shaped reconstruction plate technique was employed to achieve rigid fixation. The patient recovered with satisfactory function at the injured hip. We recommend this dual arc-shaped reconstruction plate technique for the treatment of acetabular posterior wall fractures extending to the acetabular roof in clinical practice.
由于髋臼后壁骨折延伸至髋臼顶时骨块较大且该区域存在肌肉阻挡,实现解剖复位及坚强固定颇具挑战。本报告描述了一名髋臼后壁骨折累及髋臼顶患者的新型重建技术。采用了标准的Kocher-Langenbeck入路和大转子截骨技术。解剖复位后,采用双弧形重建钢板技术实现坚强固定。患者伤侧髋关节功能恢复满意。我们推荐在临床实践中采用这种双弧形重建钢板技术治疗延伸至髋臼顶的髋臼后壁骨折。