经髂腹股沟入路手术治疗移位髋臼骨折

为减少手术治疗移位髋臼骨折的高异位骨化率，改善髋关节功能，作者以骨盆内髂腹股沟入路有选择地替代骨盆外入路，手术治疗双柱骨折３例、Ｔ形骨折２例、横形骨折４例、前柱骨折２例、前柱合并后半横形骨折１例。结果显示：解剖复位１０例，满意复位２例。经１～５年随访，关节功能８例优（６７％），４例良（３３％）；Ｘ线片表现８例优（６７％），３例良（２５％），１例尚可（８％），单纯髂腹股沟入路者无１例异位骨化。作者认为，骨盆内入路具有术后功能恢复快、异位骨化率低等优点，可用于手术治疗某些累及双柱的髋臼骨折，并可获得理想暴露、复位和固定。

Operative treatment of displaced acetabular fractures through the ilioinguinal approach

To reduce the incidence of ectopic ossification and improve hip joint function after the operative treatment of displaced acetabulum fractures,We surgically treated 12 acetabular fractures which involved anterior column or both anterior and posterior column fractures through the ilioinguinal approach.10 patients were judged postoperatively to have an anatomic reduction, and 2 had a satisfactory reduction. An average of 3 year follow up showed excellent results in 8 patients (67%) and good in 4 (33%).Radiographic results indicated excellent results in 8 (67%), patients good in 3(25%), fair in 1 (8%). The results suggested that the ilioinguinal approach appears to diminish many of the problems associated with utilization of an extrapelvic approach,including the disturbances of the hip abductor system,heterotopic ossification,sciatic palsy,the slow recovery of hip mobility. We conclude that it is not only good for an operative treatment of anterior column fractures but also good for some of posterior column fractures.