title: [Surgical treatment of acetabular type C1 acetabular fracture by posteroproximal-posteroanterior sequential reduction and internal fixation].
abstract: OBJECTIVE
  To investigate the operative reduction techniques and clinical results of surgical treatment of type C1 (AO/ASIF) acetabular fracture by posteroproximal-posteroanterior sequential reduction and internal fixation.
  
  
  METHODS
  From August 2004 to January 2012, 13 patients with type C1 (AO/ASIF) acetabular fracture were treated by posteroproximal-posteroanterior sequential reduction and internal fixation. Of them, 8 cases were male and 5 cases were female with an average age of 42 years years old (ranged, 18 to 64). Pelvis 3-dimentional CT reconstruction were used to confirmed the classification of fracture, and the operation were performed during from 5 to 20 days with an average of 9.5 days. Operation time, blood loss, complications and reduction were recorded and evaluated. The function of hip joint were accessed at the final follow-up.
  
  
  RESULTS
  The operation time ranged from 190 to 290 min with an average of 240 min. The mean blood loss was 1 800 ml (ranged, 1 300 to 3 000 ml). One case had superficial infection and healed after 3 weeks. According to Matta reduction criteria, 8 cases obtained anatomical reduction, 4 cases got satisfied results and 1 cases got unsatisfied results. Eleven cases were followed up with an average of (24.0 +/- 8.0) months, and 2 cases were lost to follow-up. According to revised Mede d'Aubingne and Postel evaluation system, 7 cases got excellent results, 2 good, 1 moderate and 1 poor.
  
  
  CONCLUSIONS
  Posteroproximal-posteroanterior sequential reduction and internal fixation for the treatment of type C1 (AO/ASIF) acetabular fracture can achieve satisfied surgical proces and operation quality.
authors.affiliation: Department of Orthopaedics, the Central Hospital of Lishu, Lishu 32300, Zhejiang, China. lsh2681225@163.com
authors.forename: Shu-Hua
authors.initials: SH
authors.lastname: Lan
authors.forename: Jun-Kun
authors.initials: JK
authors.lastname: Zhu
authors.forename: Shu-Ming
authors.initials: SM
authors.lastname: Huang
authors.forename: Ji-Fei
authors.initials: JF
authors.lastname: Ye
authors.forename: Quan-Zhou
authors.initials: QZ
authors.lastname: Wu
authors.forename: Fang
authors.initials: F
authors.lastname: Ye
authors.forename: Guo-Qiang
authors.initials: GQ
authors.lastname: Lü
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D055815:Young Adult