Abstract：Objective To investigate the strategies for treatment of acetabular fractures combined with ipsilateral femoral head fractures and discuss their effect.Methods The study enrolled 35 cases of acetabular fractures combined with ipsilateral femoral head fractures admitted from January 2006 to June 2012.There were 31 males and 4 females,at an average age of 35.3 years (range,19-53 years).Nonsurgical treatment and open reduction and internal fixation (ORIF) were performed.Harris hip function and postoperative complications were recorded at follow-up.Results Twenty-seven cases were followed up for a mean period of 36.6 months (range,12-84 months).Mean Harris hip score was 80.2 points (range,37-98 points).The results were excellent in 11 cases,good in 6,fair in 4 and poor in 6,with the excellence rate of 63％.Femoral head necrosis occurred in 4 cases (15％) and heterotopic ossification in 2 (7％).Conclusion Acetabular fractures combined with ipsilateral femoral head fractures have poor outcomes,for which involvement of posterior wall for ＞ 40％ or displacement for ＞ 2 mm and involvement of femoral head for ＞20％,ORIF is necessary and in part may improve the outcome.
. Treatment strategies and their effect for acetabular fractures combined with ipsilateral femoral head fractures[J]. CHINESE JOURNAL OF TRAUMA, 2014, 30(3): 199-203.
