后侧入路治疗髋臼骨折30例临床研究  

Clinical Analysis on Treatment of Acetabular Fracture by Posterior Aapproach

作　　者：李毅[1] 姚建锋[1] 张育民[1] 许鹏[1] 马建兵[1] 肖琳[1] 张宪[1] 

机构地区：[1]西安市红十字会医院,710054

出　　处：《美中国际创伤杂志》2009年第3期20-22,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：研究后侧入路在治疗髋臼骨折中的应用。方法：1997年1月～2005年12月，对30例（31髋）髋臼后部骨折的患者采用Kocher-Langenbeck入路行切复内固定治疗，并对临床结果进行分析。结果：30例患者全部随访，时间为12月至4年，平均2．5年。按Matta标准，优16例，良6例，可8例，优良率73.3％。结论：后侧入路在治疗髋臼后方骨折中具有显露良好、复位方便、创伤较小、固定牢靠及便于功能训练等优点。Objective： To study the treatment of acetabular fractures by posterior approach. Methods： From January 1997 to December 2005, 30 patients （31 hips） of acetabular fractures were treated with open reduction and internal fixation by Kocher-Langenbeck posterior approach, and the clinical outcome was analysed. Results＇ All the cases were followed-up for an average period of 2.5 years （range from 12 months to 4 years）. The result was evaluated as excellent in 16,. good in 6 and fair in 8 cases according to Matta＇ s standard, the excellent and good rate was 73.3%. Conclusion： Posterior approach in treating acetabular fractures has advantages of excellent exposure, convenient reduction, less lesion, rigid fixation and easy to do functional exercise.

关 键 词：髋臼骨折 后侧入路 切开复位 骨折内固定术 

分 类 号：R683.3[医药卫生—骨科学]