重建接骨板内固定术治疗髋臼骨折28例  

Reconstruction Plate Fixation in the Treatment of the Acetabular Fractures

作　　者：俞胜宝[1] 胡四生[1] 汪炜[1] 姚剑平[1] 

机构地区：[1]安徽省黄山市人民医院骨科,145000

出　　处：《解剖与临床》2010年第3期198-200,共3页Anatomy and Clinics

摘　　要：目的：探讨髋臼骨折切开复位重建接骨板内固定的治疗方法与效果。方法：采用骨折复位骨盆重建接骨板内固定术治疗髋臼骨折28例。按照Letoumel分型，后壁骨折18例，后柱骨折6例，后柱伴后壁骨折3例，前柱伴前壁骨折l例；其中8例伴髋关节后脱位，2例髋关节前脱位，2例髋关节中心脱位。结果：根据美国骨科学会（AAOS）标准，本组疗效优18例，良7例，可2例，差1例，优良率91％。结论：术前明确骨折分类，恰当地掌握手术时机，选择合适的手术入路、可靠的内固定及满意的复位，是提高髋臼骨折治疗效果的关键。Objective：To evaluate the effect of the acetabular fracture with open reduction and reconstruction plate fixation. Methods：28 cases of acetabular fractures were operated by fracture reduction and reconstruction plate fixation. Among of them, 18 cases were posterior wall aeetabular fractures, 6 cases of posterior column acetabular fracture, 3 cases of posterior column and posterior wall acetabular fracture, 1 case of anterior column and anterior wall aeetabular fractures, 8 cases of posterior dislocation of the hip, 2 cases of anterior dislocation of the hip, and 2 cases of central dislocation of the hip. Results： According to the American Academy of Orthopaedic Surgeons （AAOS） standards, 18 cases were graded as excellent, 7 cases as good, 2 cases as fair and 1 case as poor. The good rate is 91%. Conclusions：The key points of operation were clear preoperative fracture classification, the appropriate time of operation, the right approach, an anatomic reduction and a reliable internal fixation.

关 键 词：髋臼 骨折 重建接骨板 内固定 

分 类 号：R687.3[医药卫生—骨科学]