Surgical Treatment Of Acetabular Fracture

OBJECTIVETo discuss the diagnosis and operative technology of acetabular fracture.METHODS60 cases of displaced cetabular fractures were collected. CT or 3D - CT were proformed before operation to understand the classification of fractures and to determine operative regimen. All cases were fixed by reconstruction plates and screws through the best approach.RESULT56 cases were followed up for 6 monthes -6 years, with an average of 2. 8 years. Curative outcomes were assessed by Matta 's criteria. Clinically, 26 (55.3% ) of 47 fresh fractures were excellent, 15 [31.9% ) good,3 (12. 8% ) fair. The rate of excellence and goodness was 87. 2%. In 9 cases of old fractures,2 were excellent,3 good,2 fair and 2 poor. The rate of excellence and goodness was 55.6%. Complications consisted of sciatic never injury, necross of the femoral head,and heterotopic ossification.CONCLUSIONThe time of operation, degree of injury, and quality of reduction of fracture are important factors affecting the postoperative function of the hip. The key to enhance the outcome is to verdict the typy of fracture, select the proper approach...