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[Operative treatment of delayed acetabular fractures]
Man-yi Wang1, Xin-bao Wu, Shi-wen Zhu
1Department of Traumatology and Orthopaedics, Jishuitan Hospital, Beijing 100035, China.
Objective:
To assess the operative methods of delayed acetabular fractures and the operative results.
Methods:
The operative approaches, procedures, results and complications of the delayed acetabular fractures between August 1993 and August 2001 in Jishuitan Hospital were evaluated retrospectively.
Results:
Thirty-two patients were followed up 49.6 months on average. Sciatic nerve palsy was found in 1 patient. Excellent functional results of hip joints were found in 3 patients, good in 16, fair in 10, and poor in 3. Ectopic bone formation was observed in 6 patients and necrosis of the femoral head in 3.
Conclusion:
Careful selection of operative indications of delayed acetabular fractures in combination with proper operative approach and appropriate reduction and fixation, good results can be obtained.