SURGICAL-TREATMENT OF BOTH-COLUMN FRACTURES BY STAGED COMBINED ILIOINGUINAL AND KOCHER-LANGENBECK APPROACHES

Between 1981 and 1989, 18 patients affected by both-column acetabular fractures were operated on by staged combined ilioinguinal and Kocher- Langenbeck approaches. Postoperative reduction quality and long-term r adiographic results were evaluated according to the Matta radiological systems. The Harris hip scoring system was used for the functional re sults. Average follow-up was 53.2 months, ranging from 24 to 132 month s. Reduction was anatomical in five cases (27.8 per cent), satisfactor y in 11 (67.1 per cent), and non-anatomical in two cases (11.1 per cen t). Radiographic long-term results were excellent in nine cases (50 pe r cent), good in five (27.8 per cent), fair in two (11.1 per cent) and poor in two (11.1 per cent). The Harris score was more than 90 in eig ht patients (44.4 per cent), between 80 and 90 in seven (39.9 per cent ), between 80 and 70 in one (5.5 per cent), and less than 70 in two (1 1.1 per cent).