髋臼骨折的手术治疗  

Operative treatment of acetabular fracture

作　　者：王万明 周忠 徐皓 陈学明 

机构地区：[1]福州市医院,福建福州350025

出　　处：《实用骨科杂志》2002年第3期163-164,共2页Journal of Practical Orthopaedics

摘　　要：目的 :评价手术治疗髋臼移位骨折的效果。方法 :总结对 3 8例有移位髋臼骨折手术治疗的经验。根据骨折类型选用髂腹股沟入路、Kocher-Langenbeck入路、延长髂股入路 ,复位后用骨盆钢板和可吸收钉固定。结果 :3 8例中 2 2例 (5 7.9% ) ,完全复位 ,8例 (2 1.0 5 % )满意复位 ,8例 (2 1.0 5 % )复位不满意。 3 0例获得随访 ,平均随访时间 2 .5年。根据 Matta评分标准 :优 9例 (3 0 % ) ,良 13例 (3 7% ) ,一般 6例 (2 0 % ) ,差 4例 (13 % )。结论 :对于髋臼骨折 ,联合应用三个方向的 X片和 CT扫描 ,准确诊断 ,尽早予以解剖复位 ,牢固固定 ,骨折愈合后负重运动。Objective:To evaluate the result of the operative management of acetabular fracture.Methods:38 cases of displaced acetabular fracture were treated operatively from April 1993 to October 1999.Illioinguinal approach,Kocher-Langenbeck approach and extended illiofemoral approach were adopted for different fractures.The reconstruction plates and absorbable screws were used to fix the reducted fractures.Results:Anatomic reduction were achieved in 22(57.9%),satisfactory in 8(20.5%) and unsatisfactory in 8(20.05%).The post operative function state of the 30 cases was evaluated according to Matta,follow up time averaged 2.5 years,and the results were:Excellent,9(30);Good,13(37%);Fair,6(20%);poor,4(13%).Conclusions:Accurate classification of fracture can be achieved with the aids of Judet plain radiographs and CT scan.Early reduction and rigid fixation are essential to good result.Weight bearing is allowed after the fractures heal.

关 键 词：髋臼骨折 开放复位 内固定 手术治疗 

分 类 号：R683.3[医药卫生—骨科学]