[Objective]To introduce the surgical techniques and preliminary clinical results of fixation of complex acetabular fractures through the pararectus approach.[Methods]From July 2019 to June 2022,a total of 14 patients received infra-acetabular screw fixation of complex acetabular fractures through the pararectus approach.Through the pararectus approach,the anterior column fracture was reduced and fixed by a reconstructive plate along the upper boundary of the pelvis,with the quadrilateral body fixed by iliac plate or comb screws.In addition,an infra-acetabular screw 3.5mm or 4.5mm in diameter was inserted at the medial end of the iliopectineal eminence towards the ischiatic tubercle through the third window of the para-rectus approach.[Results]All the patients had operation performed successfully without vascular or nerve injury,whereas with an average operation time of(153.5±45.6)min,and an average intraoperative blood loss of(465.7±249.5)ml.Based on Matta criteria,the quality of fracture reduction was excellent in 12 cases and good in 2 cases.The Merled'Au-bigne-Postel score ranged from 14 to 18 at the last follow-up lasted for(14.5±4.7)months in a mean,accordingly,9 cases were excellent,4 cases were good and 1 case was fair.[Conclusion]Fixation of complex acetabular fractures by a single para-rectus approach,in which the anterior and posterior columns are fixed with infra-acetabular screw to enhance the overall stability of the internal fixation,does achieve sat-isfactory clinical results.
NETL
NSTL
万方数据
