Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Ziqiang Road 139, Shijiazhuang, 050051, Hebei, P.R. China.
Sci Rep. 2017 Aug 14;7(1):8044. doi: 10.1038/s41598-017-08724-1.
Both-column fractures are the most complicated group of acetabular fractures. Although great progress of surgical technique has been made, the choice of approach is controversial. All the fragments could be exposed and managed through combined ilioinguinal and Kocher-Langenbeck (IL+KL) approaches, which has been widely used to conduct the both-column fractures. However, the clinical popularization may be restricted for high rate of complication. Most internal area of the hemipelvis could be exposed through Stoppa combined with iliac fossa (S+IF) approach. The majority of both-column fractures were managed through IL+KL approaches or S+IF approach in our institution. The comparison of the two surgical methods was done in this study. The purpose is to examine whether S+IF approach could achieve the satisfactory reduction and fixation for both-column fractures.
双柱骨折是最复杂的髋臼骨折类型。尽管手术技术取得了很大进展，但入路的选择仍存在争议。通过联合髂腹股沟和 Kocher-Langenbeck（IL+KL）入路可以暴露和处理所有骨折块，该方法已广泛用于治疗双柱骨折。然而，由于并发症发生率高，其临床推广可能受到限制。Stoppa 联合髂嵴入路（S+IF）可暴露大部分骨盆半环内部区域。在我们机构，大多数双柱骨折通过 IL+KL 入路或 S+IF 入路进行治疗。本研究比较了两种手术方法，旨在探讨 S+IF 入路是否能达到双柱骨折满意的复位和固定效果。
