Posterior Wall Osteotomy for Old Acetabular Fracture

Surgical Treatment of Old Acetabular Fracture With Posterior Wall Osteotomy

Posterior wall osteotomy would be conducted to manage the old acetabular fracture. The outcome was reviewed to assess the feasibility of the surgical procedure.

More and more patients with old acetabular fracture were admitted in our institution during the past years. There is little literature especially depicts the therapeutic principle of the kind of damage. Posterior wall osteotomy would be conducted to eliminate the fragments or callus from the hip joint. Then, the deformed healing acetabulum could become mobile and the reduction may be achieved. However, the surgical procedure is technique demanding and some intraoperative risk may be accompanied.

Surgical time, blood loss, complication and fracture healing would be reviewed to assess the feasibility of the surgical procedure. The function outcome is evaluated with HHS score at the follow up.

Inclusion Criteria:

• acetabular fracture
• no surgical procedure has been obtained over 3 weeks
• deformed healing
• receive posterior wall osteotomy
• completed more than one year follow-up

Exclusion Criteria:

• accompanied with other fracture
• pathological fracture
• reject the posterior wall osteotomy