Clinical Results of Acetabular Fracture via the Pararectus versus Ilioinguinal Approach

• DOI: 10.1111/os.12970
• Publication Date: 2021-05-04T13:30:28Z
• Authors: Ruyi Zou; Min Wu; Jianzhong Guan; Yuzhou Xiao; Xiaotian Chen
• Keywords: Acetabular fracture; Nerve Injury

Objective To compare the clinical efficacy of pararectus and ilioinguinal approach in treatment acetabular fractures. Methods A retrospective analysis data 60 patients with fractures treated by or from January 2016 to 2019 was performed record all comparing length surgical incision, time expose fracture amount blood loss during operation. Patients were routinely followed up at 1, 6 12 months postoperatively. The function hip joint after operation (Improved Merle d' Aubigne Postel scores) complications postoperation recorded. Results There a significant difference (mean ± SD) incision [(11.2 1.5) cm vs .(23.8 2.1) cm], exposure [(10.8 1.7) min .(19.9 1.9) min] ( P < 0.05) between two approaches; there no intraoperative [(591.8 131.4) mL . (614.6 132.7) mL] scores last follow‐up groups > 0.05). In group, one patient (3.3%) postoperative wound fat liquefaction, completely improved secretion culture, enhanced dressing effective antibiotics, developed lateral femoral cutaneous nerve injury; One case myositis ossificans occurred obvious symptoms. Conclusions These suggest that for fractures, both can achieve satisfactory results, but former has relatively simple small length, which is line modern concept minimally invasive pelvis.