Operative treatment for double-column acetabular fractures through minimally invasive ilioinguinal approach combined with posterior Kocher-Langenbeck approach
YUAN Fang-chang
CHEN Cui-li
GUAN Xi-liang
MA De-ying
ZHOU Dong-sheng
Abstract：Objective To explore the clinical effect of operative treatment for double-column acetabular fractures through minimally invasive ilioinguinal approach combined with posterior Kocher -Langenbeck approach . Methods From Jul.2010 to Aug.2014,46 acetabular fracture patients who were treated by open reduction and in-ternal fixation in our department within 3 weeks after injury were selected for this study .Among them,19 patients who were diagnosed as both-columns fractures according to Judet-Letournel ’ s classification system , were treated through minimally invasive ilioinguinal approach combined with posterior Kocher -Langenbeck approach .All the 19 cases were put in a floating position .The reconstruction plates were placed on the iliopubic line ( from pubic tuber-cle to tubercle of iliac crest through iliopubic eminence ) .Intra-operative blood loss was measured and postoperative functional outcomes were evaluated at follow-ups.Results All cases obtained an average follow-up of 13.5 months (range,7 to 26 months).Intra-operative blood loss was 540mL on average (range,310 to 1100mL).The quality of reduction according to Matta’s criteria was graded as excellent in 14 cases,good in 4 cases,and poor in 1 case.Hip functions were excellent in 13 patients,good in 2,fair in 3,and poor in 1 patient according to the D ’Aubigne scoring system.Heterotopic ossification was observed in 1 patient.No complication such as infection ,iatrogenic nerve inju-ry or deep venous thrombosis occurred .Conclusion The modified ilioinguinal approach combined with posterior Kocher-Langenbeck approach for treating double column acetabular fractures can obtain good exposure and reliable fixation.The iliopubic anterior column plate has advantages of simple operation and reliable fixation .
Keywords：acetabular fractureinternal fixationminimally invasive
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 429-431 )