髋臼骨折手术治疗的临床研究  

Surgical Treatment of Acetabular Fractures

作　　者：江亚[1] 段廷明 杨祖华[1] 刘锴[1] 戴勇[1] 刘东东[1] 

机构地区：[1]合肥市第三人民医院骨科,合肥230022

出　　处：《南昌大学学报（医学版）》2014年第1期46-48,F0003,共4页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨髋臼骨折的手术入路的选择及手术效果。方法对28例髋臼骨折患者，根据骨折的类型、移位的程度及骨折的时间，分别选择不同的术式、人路及不同的内固定材料进行手术。术后随访6～36个月。结果28例患者骨折在8～12周愈合。按Matta评定标准：解剖复位17例，满意复位11例。根据改良的Merled’Aubigne—Postel髋关节功能评分标准：优13例，良10例，可4例，差1例。出现1例股骨头坏死，1例创伤性关节炎。结论根据髋臼骨折的不同分型选择不同的手术人路以及正确的骨折复位内固定是获得满意疗效的基本前提。Objective To discuss the choice of surgical approach and surgical results for acetabular fractures. Methods According to fracture type, displacement degree and fracture time, different procedures, approaches and internal fixation materials were selected for surgical treatment of acetabular fractures in 28 patients. After operation, patients were followed up for 8-36 months. Results All patients had fracture healing 8-12 weeks after operation. According to the Matta assessment standard,anatomical reduction was achieved in 17 patients and satisfactory reduction in 11. According to the improved Merled＇Aubigne-Postel hip rating scale,hip joint function was excellent in 13 patients, good in 10, fair in 4, and poor in 1. In addition, femoral head necrosis occurred in 1 patient and traumatic arthritis in 1. Conclusion The choice of surgical approach and appropriate fracture fixation according to fracture type are the basic premises to achieve satisfactory curative effect in patients with acetabular fractures.

关 键 词：髋臼骨折 骨折分型 手术入路 内固定 

分 类 号：R683.3[医药卫生—骨科学]