56 cases of acetabular fracture surgery experience.docVIP

 PAGE \* MERGEFORMAT 11 56 cases of acetabular fracture surgery experience Of: Li Zhi, Zheng sum, Lu Guoqiang, Zeng Yong, Xiong Jiawei Vigilant Degree [Abstract] Objective To study the surgical treatment of acetabular fractures and effect. Methods 56 cases of acetabular fracture treatment outcome. According to the different types of fractures, surgical use of KL (Kocher Langenbeck approach in 35 cases, 8 cases of ilioinguinal approach, before and after the combined approach (plus KL approach groin) in 13 cases. reset after the application of pelvic reconstruction plate, lag screw fixation and prosthesis replacement. The average follow-up time was 26 months (8 to 42 months. Reset image according to Matta score, anatomic reduction in 31 cases, 21 cases of good reduction, and poor in 4 cases, the fine rate was 92.9%. local infection in 2 cases, the occurrence of traumatic arthritis in 4 cases, heterotopic ossification in 2 cases, 1 case of aseptic necrosis of femoral head . Conclusion Preoperative right acetabular fracture analysis of fracture type, select the timing of surgery, approach, surgery in good order and reset operation is the key to improving treatment. [Keywords:] acetabular fracture, reduction, internal fixation Abstract: Objective To discuss the method for management of acetabular fractures and evaluate the corresponding results.Methods The experience in treatment of 56 cases of acetabular fractures was summarized.According to different types, KL (Kocher Langenbeck) approach was applied in 35 cases, ilioinguinal approach in 8 cases, and combined approaches (KL plus ilioinguinal) in 13 cases.Fixation was carried out with special instruments, such as pelvic reconstructive plates, lag screws or artificial joint replacement.Results The average follow up time was 26 months (from 8 months to 42 months.According to Matta evaluation, excellent 31 cases, good 21 cases, acceptable 4 cases.The excellent and good rate was 92.9%. Infection was observe