Complications in surgical treatment of acetabular fractures / 中华创伤杂志

ABSTRACT

Objective To discuss the effective method for decreasing operative complications in acetabular fractures. Methods A retrospective analysis was done on 70 patients with acetabular fractures treated with open reduction and internal fixation from June 1998 to June 2003 so as, in combination of follow up data, to investigate cause, mechanism, and effective preventive and therapeutic methods. Results Open reduction and internal fixation were effective methods for acetabular fractures but had too many complications especially in traumatic arthritis and femoral head avascular necrosis, to which we must pay much more attention. Conclusions Operative injury lessening and anatomical reduction are keys to decrease of operative complications. Anterior screw fixation through inguinal approach may be an effective method of decreasing operative injury and complications.