[Complications of operative treatment of acetabular fractures].
OBJECTIVE
To improve the effect of operative management of acetabular fractures.


METHODS
One hundred and seventy eight acetabular fractures were treated operatively from August 1993 to December 2000. Their functional results and complications were analyzed.


RESULTS
One hundred and twelve hips were followed up for an average of 45.7 months. Heterotopic ossification was noted in 26 hips, post-operative osteoarthritis in 22 hips, avascular necrosis of the femoral head in 8 hips, and sciatic nerve injury in 7 hips after operations. No death and infection were found in this series.


CONCLUSIONS
Ectopic bone formation develops at extended ilio-femoral and Kocher-Langeneck approaches. Cartilaginous injury of the femoral head is contributable to post-operative osteoarthritis, and imperfect reduction is an important factor in the genesis of osteoarthritis.
Zhu
Shi-wen
SW
Department of Traumatology and Orthopaedics, Beijing Jishitan Hospital, Beijing 100035, China.
Wang
Man-yi
MY
Wu
Xin-bao
XB
Cao
Qi-yong
QY
Wu
Hong-hua
HH
Rong
Guo-wei
GW
D000077:Acetabulum / Q000293:injuries*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005271:Femur Head Necrosis / Q000209:etiology / Q000517:prevention & control; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000209:etiology / Q000517:prevention & control; D015207:Osteoarthritis, Hip / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D012189:Retrospective Studies; D012584:Sciatic Nerve / Q000293:injuries; D016896:Treatment Outcome; D055815:Young Adult