[Operative treatment of acetabular fractures].
OBJECTIVE
To improve the level of the management of complicated acetabular fracture.


METHODS
56 acetabular fractures were treated operatively from March 1993 to May 1998. According to Letournel-Judet classification, 7 cases were posterior wall fracture, 6 posterior column fracture, 4 anterior column fracture, 6 transverse fracture, 6 T-shaped fracture, 10 posterior column combined posterior wall fracture, 6 transverse combined posterior wall fracture, 2 anterior combined posterior hemi-transverse fracture and 6 both column fracture. Kocher-Langebeck approach, illioinguinal approach, illiofemoral approach, extended illiofemoral approach and anterior combined posterior approach were adopted for different fractures with reconstruction plates and screws.


RESULTS
49 of 56 cases were followed up on an average of 26.4 months. According to Matta's evaluation, 19 cases (39%) showed excellent results, 24 (49%) good, 4 (8%) fair, and 2 (4%) poor. Avascular necrosis of the femoral head was found in 4 cases (8%) and heterotopic ossification in 15 cases (30.6%). No death and infection were found in this series.


CONCLUSIONS
According to our experience, accurate analysis of fractures preoperatively, reasonable surgical approaches and timing of surgery are essential to good treatment of acetabular fractures.
Wu
X
X
Department of Traumatology and Orthopaedics, Beijing Jishuitan Hospital, Beijing 100035.
Wang
M
M
Rong
G
G
D000077:Acetabulum / Q000293:injuries* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D017759:Fractures, Malunited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome