Acetabulum consisting of the hip joint is the most important weight bearing joint in the lower extremity. The principle of treatment for this fracture must be restored the hip function which require accurate anatomical reduction and firm internal
fixation followed by early joint motion
But because of the difficulties in the evaluation & classification of the fracture and in the exposure & reduction, treatment of displaced acetabular fracture have been controvirsal.
Recently many authors stressed that surgical operation is often required to achieve the accurate anatomical reduction of fractured acetabulum and reported its good results.
Authors reviewed and analysed 24 patients with displaced acetabular fractures by surgical treatment who had displacement of minimum 3mm after skeletal traction, which were treated at Department of Orthopedic Surgery, Inje University, Seoul Paik
Hospital
from Jan. 1987 to Jan. 1992
@ES The results were as follows:
@EN 1. According to Letournel's classification, the most common type was posterior wall fracture, the second was transverse with posterior wall fracture, and pelvic bone fracture was the most common associated injuries.
2. Surgical approaches were Kocher-Langenbeck in 14 cases, Ilioinguinal in 5 cases, Obsorne and Moore in each 2 cases, triradiate trochanteric 1 case.
3. The satisfactory result was achieved in each 17 cases of patients with congruent reduction clinically & radiologically and in 14 cases clinically and in 15 cases radiologically of the patients who underwent surgical treatment.
4. Alternative procedure in complex transverse and both column fracture can be considered that the opposite column is performed by closed reduction with lag screws and one column is by open reduction and internal fixation with plates, screws
using
of
ilioingunal or posterior approach.
5. Surgical treatment in the acetabular fracture with an anatomical reduction and rigid fixation followed by early joint motion improved the results and prognosis.
6. In the open surgical treatment it should be considerd the accurate evaluation & classification of fracture, appropriate surgical surgical approach & fixation device.
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