前后联合入路切开复位内固定治疗复杂性髋臼骨折的临床研究  

Clinical Effect of Open Reduction and Internal Fixation through Anterior and Posterior Combination Approach in the Treatment of Complex Acetabular Fractures

作　　者：雷国亮[1] 鲍宜周[1] 

机构地区：[1]江苏省东海县人民医院骨科,222300

出　　处：《临床合理用药杂志》2014年第30期65-67,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨采用前后联合入路切开复位内固定治疗复杂性髋臼骨折的临床效果。方法选取2006年1月—2013年7月本院收治的21例复杂性髋臼骨折患者,均采取前后联合入路切开复位内固定治疗,观察患者术后的恢复情况。结果随访时间为5～24个月,平均12个月。髋关节面复位情况：解剖复位14例,满意复位6例,不满意复位1例。术后髋关节功能评价：优13例,良5例,可2例,差1例,优良率85.7%（18/21）。结论对复杂性髋臼骨折采用前后联合入路切开复位内固定治疗具有视野暴露清晰、术后功能恢复良好、并发症少的优点,是治疗复杂性髋臼骨折的有效手段。Objective To investigate the clinical effect of open reduction and internal fixation through anterior and posterior combination approach in the treatment of complex acetabular fractures. Methods A total of 21 patients with complex acetabular fractures admitted to our hospital from January 2006 to July 2013 were selected,all of them were treated by open reduction and internal fixation through anterior and posterior combination approach,and postoperative recovery observed. Results The followed- up lasted to 5 to 24 months,the average was 12 months. Recovery of hip articular surface： 14 cases got anatomical reduction,6 cases got satisfactory reduction,1 case got unsatisfactory reduction. Hip joint unction： 13 cases got excellent effect,5 cases got good effect,2 cases got fine effect,1 case got poor effect,the excellent and good rate was 85. 7%（ 18 /21）. Conclusion Open reduction and internal fixation through anterior and posterior combination approach is an effective mean of complex acetabular fractures,with clear visions in operation,good postoperative function recovery and less complications.

关 键 词：髋臼 骨折 切开复位 内固定 

分 类 号：R687.3[医药卫生—骨科学]