Matta J M
Department of Orthopaedics, University of Southern California School of Medicine, Hospital of the Good Samaritan, Los Angeles.
Clin Orthop Relat Res. 1994 Aug(305):10-9.
The ilioinguinal surgical approach was found to be effective for treatment of 119 (about 33%) of the 373 acetabular fractures treated operatively by the author over a 10-year period. It is indicated for anterior wall, anterior column, associated anterior and posterior hemitransverse fractures, as well as certain both column and transverse fractures. The approach offers the advantages of a cosmetic incision, rapid recovery of muscle function, and minimal ectopic bone formation. Complications included 3% surgical wound infection, 2% iatrogenic nerve palsy, 1% significant ectopic bone, and 1% death from pulmonary embolus. Clinical results at a minimum of 1-year, and an average of 3-years' followup, were, excellent in 37%, good in 47%, fair in 14%, and poor in 2%. Two patients later required total hip arthroplasty for posttraumatic arthritis.
在作者10年期间手术治疗的373例髋臼骨折中，发现髂腹股沟手术入路对其中119例（约33%）有效。它适用于前壁、前柱、合并的前半横形和后半横形骨折，以及某些双柱和横形骨折。该入路具有切口美观、肌肉功能恢复快和异位骨形成极少的优点。并发症包括3%的手术伤口感染、2%的医源性神经麻痹、1%的严重异位骨和1%的肺栓塞死亡。至少1年、平均3年随访的临床结果为：优37%，良47%，可14%，差2%。两名患者后来因创伤后关节炎需要行全髋关节置换术。
