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Published on: June 6, 2025
[Treatment of complex acetabular fractures by a modified extended iliofemoral approach]
Peng Wei1, Chaoming Song, Wei Ming
1Department of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan, 637000, PR China.
Objective:
To evaluate the effect of the modified extended iliofemoral approach on treating complex acetabular fractures.
Methods:
Thirty-six cases of complex acetabular fractures were treated by the open reposition and internal fixation by a modified extended iliofemoral approach.
Results:
Thirty-six cases were followed up for 7-46 months, with an average of 23.8 months. According to the Matta standard, anatomical reposition was performed in 24 cases, perfect reposition in 8 cases, and unsatisfactory reposition in 4 cases. By the modified d'Aubigne-postel score, among the 36 cases, 22 had an excellent result, 9 had a good result, and 5 had a poor result.
Conclusion:
The modified extended iliofemoral approach facilitates the operative exposure of the anterior and posterior walls and both columns of the acetabulum in the surgically-treated acetabular fractures by the open reposition and internal fixation. Because of the reconstruction, the functions of the abductor muscle mass managed by the lag-screw-fixed osteotomies of the iliac crest, and greater trochanter, the patients can achieve a rapid rehabilitation of the joint.
