扩展型髂股切口手术治疗复合型髋臼骨折  

Extensile Acetabular Approach for the Surgical Treatment of the Complex Acetabular Fracture

作　　者：陈石玉 朱小虎 罗建光 戚春潮 

机构地区：[1]宁波市龙赛医院,浙江宁波315200

出　　处：《实用骨科杂志》2007年第4期198-200,共3页Journal of Practical Orthopaedics

摘　　要：目的探讨扩展型的髂股切口的优缺点和手术方法治疗复杂髋臼骨折的疗效。方法回顾性总结了2002年至2005年收治的资料完整的手术治疗髋臼骨折26例,按照Letournel-Judet分型:横行伴后壁骨折2例,T型骨折8例,前方伴后方半横行骨折3例和完全双柱骨折13例,均采用扩展型的髂股切口手术治疗,根据不同骨折类型采用重建钢板和拉力螺钉固定。结果全部患者均得以随访,平均随访14个月,复位情况按Matta评分标准,解剖复位20例,满意复位4例,不满意复位2例。髋关节功能参照Matta评分系统进行评估,优21例,良2例,一般2例,差1例。结论手术治疗是复杂髋臼骨折的有效治疗方法,扩展型髂股入路对复杂髋臼骨折手术治疗是一个良好的选择。Objective To explore the advantages and disadvantages of extensile acetabular approach and discuss the effect of the surgical treatment of the complex acetabular fracture. Methods Twenty-six patients with the complex acetabular fractures hospitalized from 2002 2005 were reviewed. According to Letournel-Judet classification, there were 2 transverse and posterior wall fractures,8 T shaped fractures,3 anterior fractures accompanying posterior hemitransverse fractrures and 13 both column fractures, these patients were all treated through extensile acetabular approach. The reconstructive plates and compression screws were used for internal fixation basing on different classification. Results All cases were followed up by an average of 14 months. According to Matta criterion.20 cases were reduced anatomically,4 cases were reduced satisfactory,2 cases were poor. According to Matta evaluation, 21 cases were excellent,2 cases were good,2 cases were fair and 1 case was poor. Conclusion Surgical treatment is effective for the treatment of the complex acetabular fracture ,It is a good choice that the complex acetabular fracture is treated through extensile acetabular approach.

关 键 词：髋臼骨折 手术治疗 扩展型的髂股入路 

分 类 号：R683.42[医药卫生—骨科学]