双入路内固定手术治疗复杂髋臼骨折的临床分析  

Clinical Analysis of Operative Treatment for Complex Acetabular Fracture by Combined Surgical Approach

作　　者：庄科雄[1] 

机构地区：[1]广东医学院附属观澜人民医院骨科,广东深圳518000

出　　处：《河北医学》2011年第9期1166-1169,共4页Hebei Medicine

摘　　要：目的:探讨经K-L入路联合骼腹股沟入路切开复位治疗复杂髋臼骨折的治疗效果。方法:回顾性分析我院经联合2种手术入路治疗的33例复杂髋臼骨折;骨折按Letournel分型方法分型,评估术后复位质量,骨盆关节评分标准,异位骨化率按Brooker标准评价。结果:全部患者均获随访,随访时间为16-28个月,平均随访时间18个月。本组所有病例均获临床治愈,复位成功率为87.9%。骨盆关节功能评分显示23例为优7,例为良,3例为可,优良率90.9%。骼腹股沟入路未见异位骨化,K-L入路I-II度异位骨化及III-IV度异位骨化各1例。结论:经K-L入路联合骼腹股沟入路治疗复杂髋臼骨折可以取得良好的临床疗效。Objective： To explore the effect of operative treatment to complex acetabular fracture with combined anterior ilioinguinal and posterior Kocher-langenbeck surgical approach.Method： A retrospective analysis was conducted on 33 cases of complicated acetabular fractures were treated with surgical by the combined surgical approach;According to the Letournel classification of fractures,The X ray results after surgery were assessed by Matta＇s criteria.The treated effect were assessed by the improved Merled＇Aubigne-postel standard;The rate of heterotopic ossification were graded by the Brooker system.Result： All cases were followed up with the interval from 16-28 months,the average follow-up time is 18 months.All cases were cured,the rate of successful reduction was 87.9%.As the improved Merled＇Aubigne-postel standard,the rate of excellence and good was 90.9%.There is no heterotopic ossification happened in ilioinguinal approach,1 case of grade I-II and grade III-IV respectively associated with Kocher-langenbeck surgical approach.Conclusion： The K-L surgical approach combined with ilioinguinal surgical approach treated with complex acetabular fracture,which will acquire good clinical effect operative.

关 键 词：复杂髋臼骨折 内固定术 K-L手术入路 髂腹股沟入路 

分 类 号：R687.3[医药卫生—骨科学]