PDF(Pubmed)
Abstract：
UNASSIGNED: Anterior acetabular wall fractures that extend into the anterior inferior iliac spine are more likely to be unstable, and more likely to require surgical fixation.
UNASSIGNED: Conventional acetabular anterior wall fractures originate below the anterior inferior iliac spine (AIIS) level and involve the pelvic brim. Since surgical treatment is preserved for instability and hip incongruency, atypical variation of this fracture usually jeopardizes hip stability. We report on a 33-year-old case of an acetabular anterior wall fracture extending to the anterior inferior iliac spine. He was prepared for the stress test and hip stability checked, that was unstable in extension and external rotation. The joint was exposed with the Smith-Peterson approach. Hip congruency was restored, and the AIIS fragment was stabilized by open reduction. Acetabular anterior wall fracture involving AIIS with preservation of pelvic brim is a rare equivalent of anterior wall fracture that jeopardizes hip stability and should be managed surgically. Anterior approaches are preferred in order to visualize the joint.
UNASSIGNED: Conventional acetabular anterior wall fractures originate below the anterior inferior iliac spine (AIIS) level and involve the pelvic brim. Since surgical treatment is preserved for instability and hip incongruency, atypical variation of this fracture usually jeopardizes hip stability. We report on a 33-year-old case of an acetabular anterior wall fracture extending to the anterior inferior iliac spine. He was prepared for the stress test and hip stability checked, that was unstable in extension and external rotation. The joint was exposed with the Smith-Peterson approach. Hip congruency was restored, and the AIIS fragment was stabilized by open reduction. Acetabular anterior wall fracture involving AIIS with preservation of pelvic brim is a rare equivalent of anterior wall fracture that jeopardizes hip stability and should be managed surgically. Anterior approaches are preferred in order to visualize the joint.
摘要：
■延伸到前髂下棘的髋臼前壁骨折更容易不稳定，更有可能需要手术固定。
■常规髋臼前壁骨折起源于前髂下棘（AIIS）水平以下，并累及骨盆边缘。由于不稳定和髋关节不一致保留了手术治疗，这种骨折的非典型变异通常会危及髋关节稳定性。我们报告了一例33岁的髋臼前壁骨折延伸到前髂下棘的病例。他做好了压力测试和髋关节稳定性检查的准备，延伸和外部旋转不稳定。史密斯-彼得森方法暴露了关节。髋关节一致性恢复了，通过开放还原稳定AIIS片段。涉及AIIS并保留骨盆边缘的髋臼前壁骨折是一种罕见的前壁骨折，会危害髋关节稳定性，应手术治疗。为了使关节可视化，首选前路。
■常规髋臼前壁骨折起源于前髂下棘（AIIS）水平以下，并累及骨盆边缘。由于不稳定和髋关节不一致保留了手术治疗，这种骨折的非典型变异通常会危及髋关节稳定性。我们报告了一例33岁的髋臼前壁骨折延伸到前髂下棘的病例。他做好了压力测试和髋关节稳定性检查的准备，延伸和外部旋转不稳定。史密斯-彼得森方法暴露了关节。髋关节一致性恢复了，通过开放还原稳定AIIS片段。涉及AIIS并保留骨盆边缘的髋臼前壁骨折是一种罕见的前壁骨折，会危害髋关节稳定性，应手术治疗。为了使关节可视化，首选前路。
