Surgical treatment for complex acetabular fractures

刘强; 吴斗; 李平; 韩树峰

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Surgical treatment for complex acetabular fractures

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＜正＞Objective:To explore the effect of surgical treatment on complex acetabular fractures. Methods:The data of 46 patients （38 males and 8 females, aged 16-75 years, mean = 38. 5 years） with complex acetabular fractures, who were admitted to our hospital from January 1998 to December 2005, were analyzed retrospectively in this study. According to Letournel rules, posterior wall and posterior column fractures were found in 11 patients, transverse and posterior wall fractures in 13, T-type fracture in 4, both columns fracture in 10, and anterior column and posterior transverse fracture in 8. The choice of surgical approach was based on the individual fractures, which included ilioinguinal approach in 5 patients, Kocher-Langenbech approach in 7, combined approach in 26, and extended iliofemoral approach in 8. Results:All the patients were followed up for 3. 5 years averagely. The clinical outcomes were analyzed with Harris hip score and radiography. In 36 patients （78.3%）, the surgical procedure was successful （Harris hip score ＞ 80 points）. The rate of excellent and good was about 86%. Conclusions:The keys to increase the effectiveness of surgical treatment on acetabular fractures are correct preoperative classification of factures and choices of appropriate surgical approach and time.

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《中华创伤杂志：英文版》 |2006年第6期|325-328|共4页
作者
刘强; 吴斗; 李平; 韩树峰;
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作者单位

Department of Orthopedies First Affiliated Hospital;

Shanxi Medical University;

Taiyuan 030001;

China;

Department of Orthopedies;

First Affiliated Hospital;

Shanxi Medical University;

Taiyuan 030001;

China;

Department of Orthopedies;

First Affiliated Hospital;

Shanx;

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原文格式 PDF
正文语种 chi
中图分类骨骼手术;
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机译：髋臼;髋部骨折;外科手术;选择性;分类;内固定器;

Surgical treatment for complex acetabular fractures

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