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Abstract
Acetabular fracture results from high-enegy trauma that cause considerable displacement of the fracture fragments as well as to articular surface of the acetabulum. The goal of surgical treatment is to prevent post-traumatic arthritis and avascular necrosis of femoral head by reconstructing the articular surface accurately and restoring the contact areas between the acetabular and femoral head.
We analyzed 15 patients who were treated with surgical method at Korea University Ansan Hospital from May 1989 to July, 1992 and followed up more than 1 year.
The results were as follows:
1. The most common type was posterior wall fracture in 5 cases(33.3%), transverse fracture in 4 cases(26.7%), both column fracture in 4 cases(26.7), anterior column fracture in 2 cases(13.3%) in sequeuce according to Letournel classification.
2. The most common cause of injury was traffic accident in 13 cases(86.6%), and 2 cases(13.4%) were passengers.
3. There were 9 cases(60.0%)operated within 7th day after injury, 4 cases(26.7%) between the 7th day and 14th day, 2 cases(13.3fo)at the 21st day.
4. The employed surgical approaches were the extended ilio-femoral approach in 7cases(46.7%), the Hocker-Langenbeck approach in 6 cases(40.0%), the ilioinguinal approach in 2 cases(13.3%).
5. The result of treatment was satisfactory in 13 cases(87.7%) and the complications were post traumatic arthritis in 2 cases(15.4%), ectopic ossification in 1 case(6.7%), and avascular necros of femoral head in 0 case.
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