手术治疗髋臼横形骨折伴后壁骨折  

Surgical Treatment of Transverse and Posterior Wall Fracture of Acetabular

作　　者：李国强[1] 程银树 万安营 杜峰[1] 潘齐[1] 武进[1] 

机构地区：[1]安徽宿州市立医院,安徽宿州234000

出　　处：《实用骨科杂志》2007年第6期335-337,共3页Journal of Practical Orthopaedics

摘　　要：目的 介绍应用前后入路治疗髋臼横行骨折伴后壁骨折的手术经验。方法 回顾分析1999-2006年收治的资料完整的手术治疗髋臼横形骨折伴髋臼后壁骨折或股骨头脱位患者11例，按照Letournel-Judet骨折分型为复杂骨折中髋臼横形骨折伴髋臼后壁骨折，按AO分型为B1-2型。骨折采用重建钢板及螺钉固定。结果 全部患者均得以随访，平均随访3年。复位情况按Judet等方法进行评估，解剖复位6例，满意复位4例，不满意1例。髋关节功能按美国矫形外科研究院髋关节功能的方法进行评估，优6例，良可4例，差1例。结论 手术是髋臼横形骨折伴髋臼后壁骨折治疗的有效方法，前后入路、复位质鼍、牢固固定是治疗关键。Objective To present experience for treatment of transverse and posterior wall fracture of acetabular, using Kocher-Langenbeck and ilioinguinal approach. Methods Eleven patients with transverse and posterior wall fracture of acetabular hospitalized from 1999-2006 were reviewed. According to Letounel-Judet classification,all cases were transverse and posterior wall fracture. Two reconstructive plates and screws were used for internal fixation. Results All cases were followed up by an average of 3 years. According to Jedut criterion of reduction ：anatomic in 6, imperfect in 4,poor in 1. According to the orthopedic surgery institute for research of the United States hip score, 6 cases were excellent,4 cases were good,1 case was fair. Conclusion Surgical treatment is effective for the treatment of transverse and posterior wall fracture of acetabular ,the operation approach,reduction quality,firm fixation are the keys of success.

关 键 词：髋臼 骨折 外科治疗 

分 类 号：R683.42[医药卫生—骨科学]