Spiral CT three dimension reconstruction to direct the selection operative approach of acetabular fracture

Objective: Use spiral CT three dimension to direct the selection of operative approach of acetabular fracture.（Methods: Clinical） files of acetabular fracture.We have 8 cases of acetabular posterior wall fracture（all have hip joint posterior dislocation）,4 cases of anterior column fracture,4 cases of acetabular anterior wall fracture,5 cases of transverse fracture,2 cases of anterior column and posterior half fracture,4 case of "T" type fracture,4 case of both column fracture,2 cases of posterior column fracture.Results: 8 cases have had ilium-groin approach.19cases have had Kocher-Langenbeck approch,6 cases have had combined approach.According to the Judet assessment method,anatomical reduction was obtained in 12 cases,satisfied redution in 21 cases.There are 3 cases of ischemia nerosis of head of femur after operation in later stage.According to the Matta assessment method,12 cases are excellent,15 cases are good,4 cases are approve,2 cases are dispatch.Conclusion: To complicated acetabular fracture spinal CT three dimension reconstruction can confirm the displacement and the degree of smash of the fracture,and can show the outline and third dimension of the whole pelvis.This have very special clinical significance for the selection of approach of operation.hip fractures;Tomography,spiral computed;surgical procedures,elective