ĐIỀU TRỊ GÃY 2 CỘT Ổ CỐI BẰNG PHƯƠNG PHÁP PHẪU THUẬT KẾT HỢP XƯƠNG BÊN TRONG

Abstract

Introduction: Associated both-column acetabular fractures (Judet and Letournel classification) are rare serious injurries, leading to unsatble hip joint and complex acetabular articular injury. This caused by the directed impacts such as traffic accidents or hight falls. Open reduction and internal fixation (ORIF) is nessesary method to restore anatomy surface and stability of hip joint, help the patients avoid complications pros - trauma. Material and Methods: a prospective study 16 cases associated both - column acetabular fractures with ORIF treatment in Lower Limb Deparment, Hospital For Traumatology and Orthopaedic HCMC since January 2021 to December 2022. Functional outcome was evaluated with the Merle d’Aubigne score. Results: 16 cases include 11 males and 5 females; 10 casses caused by fall from height, 6 cases caused by traffic accidents; 7 of 16 cases involved quadrilateral fracture make femoral head move into illiac fossa; all of patiens are treated by ORIF with plates and screws; the anterior exposure used Stoppa or modifiled Stoppa  approach, the posterior invasion is Kocher - Langenbeck approach; several patients have had good outcome after 6 months, Merle d’Aubigne score got over 10 point. There were 4 patients had avascular necrosis (AVN) after 8 months, were treated with THR. Conclusion: open reduce and internal fixation (ORIF) is the good method to treat associated both - columns acetabular fracture, restore anatomy surface and stability of hip, help patients come back daily activities soon.