Senegas J, Liorzou G, Yates M
Clin Orthop Relat Res. 1980 Sep(151):107-14.
Open surgery is recommended for complex fractures whenever primary conservative treatment fails to satisfactorily reduce the femoral head and the weight-bearing dome of the acetabulum. Surgical exposure has been a major problem in attempting open reduction of these fractures. The classification of acetabular fractures noted above is a useful guide to the indications for open operation. A transtrochanteric lateral approach provides a good extra and intraarticular access to the acetabulum. The excellent clinical results achieved in 28 cases of complex acetabular fractures with a mean of 5.7 year follow-up testify to the value of this approach.
只要一期保守治疗未能令人满意地复位股骨头和髋臼负重顶，对于复杂骨折建议采用开放手术。在尝试对这些骨折进行切开复位时，手术显露一直是一个主要问题。上述髋臼骨折的分类是开放手术适应证的有用指南。经转子外侧入路可提供良好的髋臼内外侧入路。28例复杂髋臼骨折平均随访5.7年所取得的优异临床结果证明了该入路的价值。
