[Fenestration operation for treatment of acetabular parastyle XXXX combined with articular facet compression and collapse of acetabular top involving weight-bearing dome].

@entity1 @entity2096 @entity158 @entity174
OBJECTIVE: To analyze the fenestration operation for treatment of acetabular parastyle @entity174 combined with articular facet compression and collapse of acetabular top involving weight-bearing dome. METHODS: From July 2005 to February 2007, 52 cases of acetabular parastyle @entity174 combined with articular facet compression and collapse of acetabular top involving weight-bearing dome were treated by two methods. Among them, 24 cases were treated by fenestration operation for articular facet reduction, bone grafing, anatomical reconstruction of the acetabular parastyle with internal fixation, included 17 males and 7 females with an average age of (35.2 +/- 6.4) years old; the other 28 cases were treated only anatomical reconstruction of the acetabular parastyle with internal fixation, included 19 males and 9 females with an average age of (36.4 +/- 4.8) years old. All the @entity1 were evaluated with modified d'Aubigne-Postel clinical evaluation standard. RESULTS: All @entity1 gained bone healing. There were only 1 @entity1 occurenced @entity2096 and recovered 2 months later. There were no other complications. All @entity1 were followed up from 12 to 51 months (averaged in 31.5 months). According to modified d'Aubigne-Postel clinical evaluation standard, there were statistic difference between the two groups of @entity1 in @entity158 , walking, range of motion and total score. In fenestration operation group, the results were excellent in 13 @entity1 , good in 9, fair in 1, poor in 1; in parastyle reduction group,the results were excellent in 9 @entity1 , good in 11, fair in 6, poor in 2 (u=0.613, P<0.05). CONCLUSION: Fenestration operation for treatment of acetabular parastyle @entity174 combined with articular facet compression and collapse of acetabular top involving weight-bearing dome is a feasible method for the recovery of hip joint function.
