Operative Treatment of Acetabular Fracture

Objective To investigate the indication,operative approach,postoperative management,and complication of acetabular fracture.Methods Eighty-seven patients(59 males,28 females;age 17-68 years)with acetabular fracture were reviewed retrospectively.Among the patients,74 were injured in the traffic accidents and 13 were injured in the falls(acute injury in 78,old injury in 9).According to the Letournel classification,16 had afracture of the posterior wall,21 had afracture of the posterior wall and posterior column,12 had a fracture of the anterior wall and anterior column,19 had a fracture of the anterior and posterior column,and 26 had a transverse acetabular fracture.All the patients underwent an operative treatment.Results There was no injury to the nerves and blood vessels during the operation.According to the 1-5 year follow-up for 87 patients,56(64.36%)patients had anexcellent function,21(24.13%) had a good function,7(8.04%) had a fair function,and 3(3.4%)had a poor function.The excellent and good rate was 88.49%.After operation,heterotopic ossification was observed in 5 patients,and necrosis of the femoral headin 1 patients.Conclusion Operative management should be performed as soon as possible in the patients with a displaced acetabular fracture.Recovery of the stability of theacetabulum and smoothness of the acetabular articular cartilage is important to the recovery of the function.