Between 2002–2009 we operatively treated 193 acetabular fracture. Among these 44 both-columns fractures according to the classification of Letournel and Judet have been reviewed in order to evaluate the results. These fractures are rare, difficult to treat and often have poor clinical results. 44 cases of ORIF of displaced both columns fractures have been studied at a mean 37 months follow-up (range, 13 to 76 months) after the injury. 40 hips were operated with the ilioinguinal approach alone, 1 with Kocker Langenbeck and Smith petersen combined. The 3 remaining hips were operated with a double Kocher-Langenbeck and ilioinguinal approach. Every case was evalueted on X-rays according to Matta criteria and clinically with the Harris hip score and the WOMAC score.Introduction
Patients and Methods
