分叉钢板治疗髋臼后壁骨折  

Treatment of posterior wall fracture of the acetabulum with spike plate

作　　者：严军[1] 郑祖根 董启榕[1] 

机构地区：[1]苏州大学附属第二医院骨科,215004

出　　处：《江苏医药》2008年第8期771-772,共2页Jiangsu Medical Journal

摘　　要：目的研究分叉钢板治疗髋臼后壁骨折的临床疗效。方法应用分叉钢板治疗髋臼后壁骨折19例,其中男14例,女5例,年龄21～52岁。结果19例中获随访15例,随访3个月～7年,平均随访38.2个月。按改良Merled′Aubigne和Postel标准评定,15例总优良率86.7%。其中,优,9例(60%);良,4例(26.7%);一般,2例(13.3%)。结论分叉钢板能有效增加髋臼后壁骨折的固定强度,尤其适合后壁粉碎骨折的固定。Objective To evaluate the clinical outcomes of treating posterior wall fracture of the acetabulum with spike plate. Methods Nineteen cases, aged from 21 to 52 years old, with posterior wall fracture of the acetabulum were operated with spike plate from July 1999 to December 2006. The clinical outcomes were followed up. Resutls Of 19 cases, 15 cases were followed up for 3 to 84 months （average 38. 2 months）. The results assessed by modified Merle d＇ Aubigne and Postel criteria showed excellent in 9 cases（60%）, good in 4 cases（26.7%）, fair in 2 cases（13.3%）,and the total rate of excellence and goodness was 86. 7%. Conclusion Spike plate can effectively improve the internal fixation rigidity in the treatment of posterior wall fracture of the acetabulum, which is especially suited for the fixation of communited posterior wall fracture.

关 键 词：髋臼骨折 骨折内固定术 

分 类 号：R683[医药卫生—骨科学]