Analysis of bridge-link combined fixation system in the treatment of acetabular fracture

GUAN Xiang

Abstract：Objective To discuss the methods and advantages of bridge-link combined fixation system in the treatment of acetabular fractures . Methods Totally 27 cases were summarized of their perioperative period management ,essential operative points and treatment effectiveness . Postoperative status of the reduction and the functional recovery of joint were observed through regular X ray plain films and follow -ups.Different approaches were adopted according to the classification of acetabular fractures .Kocher-Langenbeck approach was adopted in 13 cases,ilioinguinal approach in 8 cases,and anterior combined with posterior approach ( ilioinguinal approach com-bined with K-L approach) in 6 cases.Fracture sites were fully exposed,reduction was accurately conducted and in-ternal fixation was secured .Results All cases were followed up for 12-18 months with an average of 15 months. The reduction quality was assessed with Matta radiographic grade .Fourteen cases were excellent ,11 good,2 poor, and the excellent and good rate was 92.6%.Traumatic arthritis was found in one case .Conclusion Bridge-link combined fixation system applies to most surgical treatment of acetabular fractures .It can provide effective internal fixation and improve recovery rate .