Clinical Curative Effect Of Treating Acetabular Roof Fracture By Minimally Invasive Operation

ObjectiveThe objective of this study is to have follow-up visits on patients thathad received minimally invasive operative treatment treating acetabularroof fracture in our hospital in recent years. To discuss the operationmethod and its postoperative curative effects, so as to provide theoreticalfoundation for minimal treatment of acetabular roof fracture.MethodsTwenty-six patients with acetabular roof fracture that had beenhospitalized in our hospital were taken as study objectives, male16cases,female10cases, age23-79years old, averagely52years old. Amongthem,12patients had complications,4with diabetes,2with coronaryheart disease,6with hypertension; injury causes:19caused by trafficaccident,5caused by high-altitude falling, and2caused by a crashingobject. Compound injury:3with rupture of viscera,9with limb fracture,2with craniocerebral trauma,2with dislocation, and1with chest trauma.After all patients’ body condition was steady, they were given operationin three weeks (3-21d). Before dislocation operation, all patients weregiven closed reduction parallel bone traction on the femoral condyle. Theoperation time, intro-operative bleeding amount, length of stay, time inbed, fracture reposition, function recovery condition after operation weretaken as observation index of operation. The pain degree, function of hip joint, malformation and hip joint activities were taken as index toevaluate the operation effect.ResultsAll26patients from this group had finished this operation smoothly.The length of operation incision was10~15cm, averagely12cm. Theoperation time was55~100minutes, averagely___minutes. Theintra-operative blood loss volume was220~480ml, averagely390ml.The lengths of stay were13~20days, averagely15days. The times in bedwere7~14days, averagely9days. The specific reposition condition ofacetabulum fracture was evaluated by Matta standard [2]:21patients’reposition of acetabulum fracture reached anatomical reduction (thefracture end shift was not over1mm),5patients’ reposition reached thesatisfying degree (the fracture end shift was not over3mm), only1patient’s reposition was dissatisfying (the fracture end shift was over3mm). The function of hip joint was evaluated by D’Aubigne-Postelstandard:16cases were excellent,5cases were good,4OK, and only1case was poor. Red and swollen wound occurred to1patient withdiabetes at the3day after operation. After controlling sugar and changingmedication on invasion, this patient’s condition was controlled. No caseshad deep venous thrombus or urinary infection. No case hadneurovascular injury.Conclusion Treating acetabular roof fracture by minimally invasive operationhad a good curative effect. This operation had features of less bleedingamount during the operation, minimal trauma, less complications ofheterotopic ossification, safe and reliable. Patients can do functionalexercise in the early stage of operation and recover well. It can reduce thepain that patients suffer from, shorten the hospital time, so it is moreavailable for old people to receive operation treatment of fracture ofacetabulum.