髂腹股沟联合K-L入路治疗复杂髋臼骨折的临床评价  

Ilio- inguinal and Kocher- Langenbeck(K- L) approach for internal fixation and reduction of complex acetabular fractures

作　　者：冯华杰[1] 吴焯鹏[1] 关万宁[1] 李振科[1] 匡光志[1] 

机构地区：[1]开平市中心医院骨科,广东开平529300

出　　处：《中国临床解剖学杂志》2014年第4期467-470,共4页Chinese Journal of Clinical Anatomy

摘　　要：目的髂腹股沟联合Kocher-Langenbeek（K-L）A路复位内固定治疗复杂髋臼骨折的临床评价。方法回顾性分析2006年1月-2012年8月采用髂腹股沟联合K-L入路切开复位内固定治疗65例复杂髋臼骨折患者临床资料，分析手术时间、术中出血量、术后复位程度、Merled’Aubigne-Pestel评分结果。结果术后患者平均随访28．5个月（15～42个月），手术时间（186±21）min，术中出血量分别为（820±21）ml。术后骨折复位情况按Matta评定标准：优43例、良18例、可4例，优良率93．8％。关节功能按照改良的Merled’Aubigne-Pestel评分系统进行评估，优41例、良18例、可6例，优良率90．8％。结论髂腹股沟联合K-L人路复位内固定治疗复杂髋臼骨折的临床效果良好。Objective To evaluate the clinic effect of ilio-inguinal and Kocher-Langenbeek （K-L） approach for internal fixation and reduction in the treatment of complex acetabular fractures. Methods A retrospective study was done on 65 patients with complex acetabular fractures who received treatment ofinternal reduction and fixation from January 2006 to August 2012 through ilio-inguinal and K-L approach. surgical length, intra-operative blood loss, degree of postoperative reduction, results of Merle d＇ Aubigne- Pestel scores were recorded. Results All patients were followed up for 15-42 months. The surgical length was （186±21） minutes, the intra-operative blood loss was （820±21） ml. According to Mata-analysis standard, the rate of good and excellent postoperative fracture reduction was 93.8%. The modified Merle d＇ Aubigne- Pestel score system showed rate of excellence and good joint function was 90.8%. Conclusions The clinical efficacy of combined ilio-inguinal and K-L approach for internal fixation and reduction in the treatment of complex acetabular fractures is good.

关 键 词：髋臼 骨折内固定术 手术入路 

分 类 号：R323.5[医药卫生—人体解剖和组织胚胎学]