Modified pararectus approach for treatment of atypical acetabular anterior wall fracture:A case report  

作　　者：Jun-Jie Wang Jiang-Dong Ni De-Ye Song Mu-Liang Ding Jun Huang Guang-Xu He Wen-Zhao Li 

机构地区：[1]Department of Orthopedics,The Second Xiangya Hospital of Central South University,Changsha 410011,Hunan Province,China

出　　处：《World Journal of Clinical Cases》2020年第12期2634-2640,共7页世界临床病例杂志

基　　金：Supported by the Xiangya Famous Doctors of Central South University,No.201468.

摘　　要：BACKGROUND Acetabular anterior wall fracture with preservation of the pelvic brim is extremely rare.It is different from anterior wall fracture classified by Judet and Letournel.Few studies have reported cases treated by open reduction and internal fixation via the Smith-Petersen or iliofemoral approach.CASE SUMMARY We report a 48-year-old Chinese woman who had difficulty moving her right hip from abduction and external rotation after falling from 3 m.Pelvic radiograph and three-dimensional reconstruction of computed tomography revealed acetabular anterior wall fractures combined with fractures of the anterior inferior iliac spine and the iliac wing but not involving the pelvic brim.First,the patient underwent interim management by closed reduction of the hip dislocation and skin traction for 6 d.Then,we used a modified pararectus approach for treatment to fix the acetabular fractures with a reconstruction plate and nonlocking T-shape plate.At the 9-mo follow-up,the patient could walk painlessly without necrosis of the femoral head or heterotopic ossification,and the X-rays and computed tomography scan reconstructions showed good bone union.CONCLUSION The modified pararectus approach described here can facilitate exposure,reduction,and osteosynthesis for atypical acetabular fracture with less invasiveness.

关 键 词：ACETABULUM FRACTURE MODIFIED Pararectus approach Case report 

分 类 号：R687.3[医药卫生—骨科学]