[Combined anterior and posterior surgeries for double column acetabular fracture].

OBJECTIVE: To explore the clinical effects and related factors of combined anterior and posterior surgeries in treatment of double column acetabular fracture. METHODS: From August 2007 to July 2009, 19 patients with double column acetabular fracture were treated. There were 13 males and 6 females, with a mean age of 39.6 years (ranged, 27 to 52 years). Among the patients, upper double column fracture was in 11 cases, lower double column fracture was in 8 cases and double column fracture involved sacroiliac joint in 1 case. The mean time from injury to operation was 5.8 days (ranged, 4 to 10 days). All patients were received combined anterior and posterior surgeries, reconstructed plate and fixed by screw. RESULTS: One patient was death, other patients were followed up from 12 to 18 months (with a mean time of 13.6 months). According to Harris standard, 9 cases got excellent results, 7 good cases and 2 fair. CONCLUSION: Combined anterior and posterior surgeries for double column acetabular fracture can get satisfactory effects.