手术治疗复杂型髋臼骨折53例  

Surgical Treatment of Complex Acetabular Fractures

作　　者：韦冰丹[1] 蒋卫平[1] 杨晓明[1] 黄永栋[1] 刘剑伟[1] 甘坤宁[1] 周竖平[1] 兰学文[1] 

机构地区：[1]广西医科大学三附院骨二科,南宁530031

出　　处：《中国中医骨伤科杂志》2009年第7期35-37,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨手术治疗复杂型髋臼骨折的临床疗效。方法:复杂型髋臼骨折53例按照Letournel-Judet分型,其中"T"型骨折9例,横形伴后壁骨折17例,后柱伴后壁骨折11例,前柱伴后半横形骨折3例,双柱骨折13例。手术入路:采用髂腹股沟入路18例,采用Kocher-Langenbeck(K-L)入路16例,扩展髂股入路4例,联合入路(髂腹股沟+Kocher-Lan-genbeck)15例。结果:按Matta关节评分标准,本组优20例,良26例,可5例,差2例,优良率78.7%。结论:手术治疗复杂型髋臼骨折能获得满意的临床疗效,正确分析骨折移位和类型,选择适当的手术入路是确保髋臼骨折治疗效果的重要保证,良好的复位是获得满意疗效的基础。Objective：To evaluate the effect of operative treatment for complex acetabular fractures. Methods：According to Letournel--Judet Classification, 53 complex acetabular fractures were classified as follows.. 9 T-shaped fractures, 17 transverse associated posterior wall, 11 posterior column associated posterior wall, 3 anterior column associated posterior hemitransverse, and 13 both columns. Eighteen cases were treated through the ilioinguinal approach, 16 through Kocher- Langenbeck （K--L） approach, 4 extended ilioinguinal approach, and 15 through combined of K--L and ilioinguinal approaches. Results：According to Matta scale for joint functions, the result of the treatment was evaluated as excellent in 20 patients, good in 26patients, fair in 5 patients and poor in 2 patients. The excellent and good rate was 78.7%. Conclusion： Operative treatment is able to produce satisfactory clinical results for the complex acetabular fractures. Appropriate approach and satisfactory fracture reduction are the basis for desirable outcomes

关 键 词：髋臼 复杂骨折 内固定 

分 类 号：R683.3[医药卫生—骨科学]