漂浮体位前后联合入路内固定治疗复杂髋臼骨折疗效分析  

Analysis of Floating Effect of Postural Combined Anterior and Posterior Internal Fixation in the Treatment of Complicated Acetabular Fractures

作　　者：曹建伟[1] 何明武[1] 张琼[1] 廖有乔[1] 

机构地区：[1]湖北医药学院附属十堰市太和医院骨科,十堰442000

出　　处：《中国医药导刊》2014年第1期38-39,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:报道我院48例采用漂浮体位前后入路内固定治疗的复杂髋臼骨折治疗情况。方法:48例复杂髋臼骨折患者接受漂浮体位下前路髂腹股沟联合后路KL入路塑形肽板手术内固定治疗,骨折复位和固定顺序:前柱-后柱,外周髂骨翼-中心髋臼壁,大骨块-小骨块。结果:解剖复位35例(72.92%),满意复位13例(27.08%),无不满意复位(0%)。髋关节功能D'Aubigne评定优良率89.58%。并发症发生率8.33%。结论:对复杂髋臼骨折最好采用漂浮体位下前后联合入路内固定手术治疗,可尽可能全面暴露术野,提高复位固定的效果,减少并发症。Objective：To report 48 cases in our hospital in the floating position complicated acetabular posterior internal fixation for treatment of fractures of before and after treatment.Methods：48 cases of complex acetabular fractures in patients receiving floating position anterior ilioinguinal and posterior KL approach shaping titanium plate internal fixation operation, reduction and fixation of fracture in order：anterior column after column--, peripheral iliac wing--center of acetabular wall, big bone block--bone block.Results：Anatomic reduction in 35 cases （72.92%）, satisfactory reduction in 13 cases （27.08%）, no satisfactory reduction （0%）. D hip joint function‘Aubigne assessment of excellent and good rate was 89.58%. The complication rate was 8.33%.Conclusion：The best of complex acetabular fractures in the floating position combined anterior-posterior instrumentation operation treatment, can be as comprehensive as possible for field exposure, to improve the effect of reduction and fixation, complications.

关 键 词：漂浮体位 联合入路 内固定 复杂髋臼骨折 

分 类 号：R687.3[医药卫生—骨科学]