手术治疗髋臼骨折60例临床分析  

Surgical Treatment for Unstable Acetabular Fractures

作　　者：胡宁敏[1] 王自立[1] 杨海波[1] 陈志荣[1] 

机构地区：[1]宁夏医学院附属医院骨科,银川750004

出　　处：《美中国际创伤杂志》2006年第1期14-16,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：对髋臼骨折手术疗效进行分析和总结。方法：60例髋臼骨折患者，男51例，女9例，年龄20～57岁，平均年龄35．6岁：按letournel和Judet的髋臼骨折分类法进行分型，常用手术入路为Koaher—langenbeek入路。髂腹股沟入路和前后联合入路；采用骨盆重建钢板和松质骨拉力螺钉，可吸收螺钉对骨折进行复位和固定。结果：平均随访48个月（6～84个月），根据改良的Merled’Anbigue和Postel的髋臼骨折临床评定标准，优20例，良25例，一般10例，差3例，优良率为75％。无死亡和感染病例。结论：髋臼骨折应进行手术治疗，高质量的解剖复位和内固定与病人的疗效相一致，应注意并发症的治疗，主张早期功能锻炼。Objective： To analyze the curative effect of surgical treatment for acetabular fractures. Methods： 60 cases of acetabular fractures were reviewed and classified according to Letournel and Judet classification. Koaher-langenbeck, ilioinguinal and combined anteroposterior approaches were used. Fracture reduction and fixation were carried out with pelvic reconstructive plates, cancellous bone screws and absorbable screws. Results： The average follow-up period was 48 months （ranging from 6 to 84 months）. Excellent results were found in 20 cases, good in 25, fair in 10 and poor in 3 cases according to the modified Merled＇Anbigue and Postel evaluation criterion. The excellent and good rate was 75%. Infection was not noted and the mortality was zero. Conclusion： Acetabular fracture patients should be treated by the surgical method, high quality anatomical reduction, internal fixation, active treatment of complications and early functional rehabilitation are the key points for reaching a good clinical result.

关 键 词：髋臼 手术 不稳定 内固定 

分 类 号：R683.3[医药卫生—骨科学]