The choice of surgical approach in the treatment of two-column acetabular fractures

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The study aimed a comparison of treatment results in patients with two-column acetabular fractures (AO, Type C) when using different operative approaches: ilioinguinal (12), Y-type (16) and a combination of posterior-lateral and ilioinguinal approaches (3). Surgical treatment was carried out not later than 3 weeks after injury. The joint congruence was reached in all the cases. The operative time, blood loss, complications, long-term results of treatment were evaluated. The study showed the effectiveness of ilioinguinal approach in case of the simple two-column fractures. When treating patients with complex fractures of the anterior column, the authors found no significant difference in operative time and intraoperative blood loss between the cases of V-type and combined approaches. In patients with two-column fractures accompanied with posterior wall lesion the time of surgery was significantly lower when using the Y-shaped approach as against the two different approaches.

About the authors

A. A. Grin’

Tyumen State Medical Academy

Author for correspondence.
Russian Federation

A. V. Runkov

Chaklin Ural Scientific Research Institute of Traumatology and Orthopedics

Russian Federation

I. L. Shlykov

Chaklin Ural Scientific Research Institute of Traumatology and Orthopedics

Russian Federation


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