前后联合进路治疗髋臼双柱骨折  

作　　者：凌义龙[1] 魏平洋[1] 韦金忠[1] 何小勇[1] 胡关彪[1] 张胜军[1] 

机构地区：[1]浙江省绍兴市中医院,312000

出　　处：《浙江临床医学》2011年第8期873-875,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨前后联合进路治疗髋臼双柱骨折的临床疗效。方法46例髋臼双柱骨折，男36例，女10例，年龄28～61岁，平均35．8岁。采用前后联合进路复位内固定，其中12例后路行大转子截骨改良K—L入路。结果复位按Matta标准，解剖复位24例、满意复位14例、不满意复位8例。功能评定按AAOS标准，优28例、良10例、可8例，优良率82．6％。结论治疗髋臼双柱骨折采用前后联合进路是一种较好的方式。Objective To explore the clinical value of combined posterior and anterior approach for treating double column acetabular fracture. Method 46 cases of double column acetabular fractures, 36 males and 10 females, aged 28 to 61 years, mean age 35.8 years. Combined posterior and anterior approach using reduction and internal fixation was applied, in 12 cases had the greater trochanter osteotomy improved K - L approach. Results According to Matta standard, anatomical reduction in 24 cases, satisfactory reduction in 14 cases, 8 cases of unsatisfactory reduction. Standards based upon the AAOS, excellent in 24 cases, good in 10 cases, 8 cases and poor in 0 cases, good rate was 82. 6%. Conclusion The combined posterior and anterior approach is a good choice for treating double colunm acetabular fracture.

关 键 词：髋臼骨折 手术入路 治疗 

分 类 号：R683.3[医药卫生—骨科学]