髋臼横行骨折采用前后柱拉力螺钉结合重建钢板固定疗效分析  

Analysis of the Effect of the Acetabular Transverse Fracture Using the Lag Screw of the Acetabulum and the Reconstruction Plate With the Reconstruction Plate

作　　者：张立峰[1] 冯卫[1] 包道日娜[2] 冬梅[3] 佟雁翔[1] 

机构地区：[1]内蒙古医科大学第二附属医院环骨盆科,呼和浩特010030 [2]内蒙古医科大学第二附属医院综合内科,呼和浩特010030 [3]内蒙古医科大学第二附属医院骨内科,呼和浩特010030

出　　处：《中国继续医学教育》2015年第25期92-94,共3页China Continuing Medical Education

摘　　要：目的探讨对髋臼横行骨折患者应用髋臼前后柱拉力螺钉结合重建钢板固定治疗的临床疗效。方法选取髋臼横行骨折患者50例,对其进行髋臼前后柱拉力螺钉结合重建钢板固定手术治疗,观察患者手术时出血量、手术时间等,手术治疗后患者髋臼复位情况以及髋关节功能恢复情况。结果平均手术时间为3.5小时,平均出血量为950ml,根据matta复位,25例解剖复位,21例满意复位,4例复位不满意,髋关节功能优良率为86.0%。结论对髋臼横行骨折患者采取髋臼前后柱拉力螺钉结合重建钢板固定手术治疗临床疗效突出。Objective To investigate the clinical effect of the application of the acetabular transverse fracture in the treatment of the acetabular fracture and the reconstruction of the plate fixation with the lag screw of the acetabulum. Methods 50 cases of patients with transverse acetabular fracture were selected,and subject to acetabular posterior column lag screw combined with reconstruction plate fixation treatment,Bleeding volume,operation time, the acetabulum repositioning and hip joint function recovery after surgical of patients were observed. Results The average operation time was 3.5 hours, the average amount of bleeding was 950ml, according to Matta reduction, 25 cases of anatomic reduction, satisfactory reduction in 21 cases, 4 cases of unsatisfactory reduction, and the excellent and good rate of hip joint function was 86.0%. Conclusion The clinical effect of the acetabular transverse fracture patients with the acetabular anterior and posterior column lag screw combined with the reconstruction plate fixation is worthy of promotion.

关 键 词：髋臼横行骨折 髋臼前后柱拉力螺钉结合重建钢板固定 手术 

分 类 号：R683[医药卫生—骨科学]