Ilio-inguinal and Kocher-Langenbeck (K-L) approach for internal fixation and reduction of complex acetabular fractures
FENG Hua-Jie, TUN Chao-Feng, GUAN Mo-Ning, LI Zhen-Ke, KUANG Guang-Zhi
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 467-470.
Ilio-inguinal and Kocher-Langenbeck (K-L) approach for internal fixation and reduction of complex acetabular fractures
Objective To evaluate the clinic effect of ilio-inguinal and Kocher-Langenbeek (K-L) approach for internal fixation and reduction in the treatment of complex acetabular fractures. Methods A retrospective study was done on 65 patients with complex acetabular fractures who received treatment ofinternal reduction and fixation from January 2006 to August 2012 through ilio-inguinal and K-L approach. surgical length, intra-operative blood loss, degree of postoperative reduction，results of Merle d’Aubigne-Pestel scores were recorded. Results All patients were followed up for 15~42 months. The surgical length was (186±21) minutes, the intra-operative blood loss was (820±21) ml．According to Mata-analysis standard，the rate of good and excellent postoperative fracture reduction was 93.8%．The modified Merle d’Aubigne-Pestel score system showed rate of excellence and good joint function was 90.8%．Conclusions The clinical efficacy of combined ilio-inguinal and K-L approach for internal fixation and reduction in the treatment of complex acetabular fractures is good．
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