From the Orthopaedic Surgeon, Department of Trauma and Orthopaedic Surgery, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, UK (Dr. Papachristos), the Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, Loma Linda University, Loma Linda, CA (Dr. Johnson), the Academic Department of Trauma & Orthopaedics (Prof. Giannoudis), School of Medicine, University of Leeds, and the NIHR Leeds Biomedical Research Center (Dr. Giannoudis), Chapel Allerton Hospital, Leeds, UK.
J Am Acad Orthop Surg. 2019 Dec 15;27(24):e1086-e1092. doi: 10.5435/JAAOS-D-18-00789.
Acetabular articular impaction may well accompany acetabular fractures. Anatomic restoration of acetabular congruence is imperative to achieve longevity of the hip joint. Combination of incarcerated acetabular impaction with osteochondral femoral fracture is a true challenge for the pelvic surgeon to address. We describe a technique to treat a posterior column acetabular fracture in association with incarcerated articular impaction and concomitant osteochondral femoral fracture. Posterior wall osteotomy combined with surgical hip dislocation facilitates the restoration of femoral head anatomy and acetabular surface integrity. This technique should be considered when dealing with this difficult scenario.
髋臼关节面嵌压很可能伴随髋臼骨折。为了实现髋关节的长期使用寿命，恢复髋臼的解剖一致性至关重要。髋臼关节面嵌压合并股骨骨软骨骨折的病例对骨盆外科医生来说是一个真正的挑战。我们描述了一种治疗后柱髋臼骨折合并关节面嵌压和伴随的股骨骨软骨骨折的技术。通过后柱截骨术联合髋关节后脱位可以帮助恢复股骨头解剖结构和髋臼表面完整性。在处理这种复杂情况时，应考虑使用这种技术。
