[Treatment of complex acetabular fractures by a modified extended iliofemoral approach].
OBJECTIVE
To evaluate the effect of the modified extended iliofemoral approach on treating complex acetabular fractures.


METHODS
Thirty-six cases of complex acetabular fractures were treated by the open reposition and internal fixation by a modified extended iliofemoral approach.


RESULTS
Thirty-six cases were followed up for 7-46 months, with an average of 23.8 months. According to the Matta standard, anatomical reposition was performed in 24 cases, perfect reposition in 8 cases, and unsatisfactory reposition in 4 cases. By the modified d'Aubigne-postel score, among the 36 cases, 22 had an excellent result, 9 had a good result, and 5 had a poor result.


CONCLUSIONS
The modified extended iliofemoral approach facilitates the operative exposure of the anterior and posterior walls and both columns of the acetabulum in the surgically-treated acetabular fractures by the open reposition and internal fixation. Because of the reconstruction, the functions of the abductor muscle mass managed by the lag-screw-fixed osteotomies of the iliac crest, and greater trochanter, the patients can achieve a rapid rehabilitation of the joint.
Wei
Peng
P
Department of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan, 637000, PR China.
Song
Chaoming
C
Ming
Wei
W
D000077:Acetabulum / Q000293:injuries*; D000328:Adult; D005260:Female; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D016896:Treatment Outcome