复杂粉碎性髋臼骨折关节面手术重建方法的临床研究  

Clinical Analysis of Surgical Treatment of Complex Acetabular Fracture

作　　者：康锦[1] 刘晓伟[2] 张绪斌[1] 张全顺[1] 张立军[1] 张正孟[1] 恩和[1] 

机构地区：[1]中国人民解放军第251医院骨关节科,河北张家口075000 [2]中国人民解放军第251医院骨二科,河北张家口075000

出　　处：《广西医学》2011年第6期686-688,共3页Guangxi Medical Journal

摘　　要：目的探讨复杂粉碎性髋臼骨折的手术修复方法。方法髋臼复杂粉碎性骨折患者148例,其中关节脱位状态下手术组(对照组)46例,关节复位状态下手术组(观察组)102例,比较两组手术时间、出血量、输血量、骨折复位质量、术后并发症。结果观察组手术时间短于对照组,术中出血量及输血量少于对照组、术后不良反应发生率低于对照组,差异有统计学意义(P均<0.01);观察组疗效好于对照组,差异有统计学意义(P<0.01)。结论以股骨头为模具、应用植骨支撑、碎骨镶嵌挤压、可吸收螺钉固定阻挡等方法辅助完成复杂粉碎性髋臼骨折关节面的重建,可明显提高骨折复位、愈合的质量,有效缩短手术时间、减少出血量及关节并发症出现。Objective To investigate the study the surgical repair methods for complicated acetabular fractures.Methods 148 patients with complex acetabular fractures were divided into two groups,that was joint dislocation state operation group（control group,n=48）,and joint reset state operation group（observation group,n=102）.the operation time,blood loss,blood transfusion,quality of fracture reduction and the coincidence of postoperative complications were compared between the two groups.Results The operative time,blood loss and blood transfusion,postoperative adverse events of the observation group were statistically lower than that of the control group（P0.01）.The excellent and good rate of observation group was 97.1%,while in control group it was 82.6%,the former was higher than that of the latter（P0.01）.Conclusion The femoral head for the mold,bone support,bone fragments embedded compression,absorbable screw fixation methods such as auxiliary block complex comminuted fracture of the articular surface reconstruction of acetabulum can significantly improve the fracture reduction,healing quality,shorten the operation time effectively,and reduce the amount of bleeding and joint complications.

关 键 词：髋臼骨折 关节 髋损伤 关节面重建手术 

分 类 号：R683.42[医药卫生—骨科学]