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고한석 ( Han Suk Ko ),전태환 ( Tae Hwan Jeon ),김병직 ( Byung Jik Kim ),임영 ( Young Lim ),서정국 ( Jung Guk Seo ),주석규 ( Suk Kyu Zoo ),김진환 ( Jin Hwan Kim ) 대한고관절학회 1993 Hip and Pelvis Vol.5 No.1
Acetabulum consisting of the hip joint is the most important weight bearing joint in the lower extremity. The principle of treatment for this fracture must be restored the hip function which require accurate anatomical reduction and firm internal fixation followed by early joint moton. But because of the difficulties in the evaluation <@k classification of the fracture and in the exposure & reduction, treatment of displaced acetabular fracture have been controvirsal. Recently many authors stressed that surgical operation is often required to achieve the accurate anatomical reduction of fractured acetabulum and reported its good results. Authors reviewed and analysed 24 patients with displaced acetabular fractures by surgical treatment who had displacement of minimum 3mm after skeletal traction, which were treated at Department of Orthopedic Surgery, Inje University, Seoul Paik Hospital from Jan. 1987 to Jan. 1992. The results were as follows: l. According to Letournels classification, the most common type was posterior wall fracture, the second was transverse with posterior wall fracture, and pelvic bone fracture was the most common associated injuries. 2. Surgical approaches were Kocher-Langenbeck in 14 cases, Ilioinguinal in 5 cases, Obsorne and Moore in each 2 cases, triradiate trochanteric 1 case. 3. The satisfactory result was achieved in each 17 cases of patients with congruent reduction clinically & radiologically and in 14 cases clinically and in 15 cases radiologically of the patients who underwent surgical treatment.