髋臼骨折手术治疗方法的选择  

Operative Treatment Approach for Acetabular Fractures

作　　者：范道勇 王绍均[1] 何波[1] 周徐[1] 袁华文[1] 

机构地区：[1]四川省达县中医院骨科,四川达县635000

出　　处：《中国伤残医学》2014年第3期3-4,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨髋臼骨折手术治疗方法的选择。方法:21例髋臼骨折患者,均按Letournel髋臼骨折分类法进行分型。常用手术入路为Kocher^Langenbeck入路、髂腹股沟入路和前后联合入路。结果:平均随访8个月(3~15个月),根据改良的Merle d’和Postel的髋臼骨折临床结果评分标准,优10例,良6例,一般2例,差3例,优良率为76.1%,无1例死亡、感染及不愈合。结论:早期对复杂髋臼骨折进行手术治疗,可获得满意的复位。选择合适的治疗方法对减少手术创伤、准确复位骨折,促进关节功能恢复有重要意义。Objective：To improve the effect of operative treatment of acetabular fractures in the treatment of the fractures. To investi- gate the selection of different methods to treat the acetabular fractures. Methods：In this series, 21 acetabular fractures were reviewed and classified according to Letournel classification, Kocher - Langenbeek, ilioinguinal and combined anterior and posterior approach were a- dopted. Results：The average follow -up period was months （ranging from 3 to 15months）. Excellent results were found in 10 cases, good in 6, fair in 2, and poor in 3. The excellent and good rate was 76.1%. Injection and non - union were not found in this series and the mortality rate was 0. Conclusions ： Satisfactory result can be procured through earlier operation in the complexity aeetabular fractures. It is very important for decreasing the surgical injuries and complications, facilitating the recovery of the functions to select the appropriate approach.

关 键 词：髋臼骨折 手术 治疗方法 

分 类 号：R681.6[医药卫生—骨科学]