Objective To analyze the feasibility, surgical method and clinical effect of lateral rectus approach (LRA) in the treatment of acetabular fractures in pediatric. Methods The clinical data and follow-up of 4 pediatric patients with acetabular fracture treated by lateral rectus incision in the Trauma Department of the Third Affiliated Hospital of Southern Medical University from January 2016 to December 2021 were retrospectively analyzed, including 3 females and 1 male, with an average age of 12.5 years (10~15 years old), 3 severe car accident injuries and 1 fall injury from height. Based on Judet-Letournel classification, There were 1 case of transverse fracture, 2 cases of double-column fracture, 1 case of anterior column combined with posterior hemi transverse fractures, 2 cases of sacroiliac joint dislocation, 1 case of sacral fracture and 3 cases of symphysis pubis dissociation. The indications and timing of operation were evaluated. Four cases were treated with lateral rectus approach. The reduction effect was evaluated according to Matta imaging reduction evaluation criteria, and the hip joint function was evaluated according to the modified Merle d'Aubigne-Postel score system. Results The 4 patients completed the operation successfully. No perioperative complications occurred. During the follow-up of 24~72 months, 4 cases were anatomically reduced according to Matta imaging reduction evaluation criteria, and 4 cases of fractures reached clinical and imaging healing standards within 2 months. Hip joint function was evaluated according to the modified Merle d'Aubigne-Postel score system: excellent in 4 cases. During the last follow-up, the morphology and structure of acetabulum in 4 cases were normal, the development was not significantly affected, and there was no abnormality in walking and daily life, and the fracture internal fixation was removed. Conclusions The incidence of acetabular fracture in children who need surgical treatment is very low, and the surgical method should be minimally invasive as far as possible. Four cases in this group were operated by lateral rectus abdominis incision, and a good short-term clinical effect was obtained.
Key words
Lateral-rectus approach; /
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Pediatric; /
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Acetabular fracture
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