切开复位重建钢板内固定治疗移位髋臼骨折的疗效观察  

Clinical Study of Displaced Acetabular Fracture Treated by the Open Reduction Reconstructive Plate Internal Fixation

作　　者：唐新桥 朱宝玉 刘忠 陈校明 曾世东 

机构地区：[1]湖南省湘潭市中心医院骨科,湖南湘潭411100

出　　处：《医学临床研究》2015年第10期1992-1994,共3页Journal of Clinical Research

摘　　要：【目的】探讨切开复位重建钢板内固定治疗移位髋臼骨折的疗效。【方法】回顾性分析52例有移位的髋臼骨折患者的临床资料，分析手术入路，观察疗效。【结果】52例患者髂腹股沟入路21例，Kocher—Langenbeck（K—L）入路26例，前后联合入路5例，均采用重建钢板内固定治疗。按照Matta影像学评价标准，解剖复位29例，满意复位18例，不满意复位5例；根据美国骨科学会（AAOS）髋关节功能评价标准：优32例，良13例，可5例，差2例，优良率为86．5％（45／52）。【结论】采用重建钢板内固定治疗移位髋臼骨折，能有效固定骨折、重建关节的稳定性，是治疗髋臼骨折的良好方法。[Objective]To discuss the clinical effects of displaced acetabular fracture treated by the open reduction reconstructive plate internal fixation.[Methods]The clinical data of 52 patients with displaced acetabular fractures and surgical approach were retrospectively analyzed to observe the curative effect.[Results]Of 52 cases of patients , 21 of them were treated with groin approach, 26 cases with Kocher-Langenbeck （K-L）, 5 cases with front and back combined approach, and all of them with reconstruction plate internal fixation. According to Matta imaging evaluation criteria, 29 cases were anatomic reduction, 18 cases were satisfactory, 5 cases were not satisfied; According to hip function evaluation standard of the American orthopaedic society （AAOS） ： 32 cases were excellent, 13 cases were good, 5 cases were fair, 2 cases were poor, the excellent and good rate was 86.5% （45/52）.[Conclusion]Reconstruction of acetabular fractures with reconstruction plate internal fixation can effectively fix fracture and reconstruct the stability of the joint, and it is a good method for the treatment of acetabular fractures.

关 键 词：髋臼/损伤 骨板 骨折/外科学 骨折固定术 内/方法 

分 类 号：R274.1[医药卫生—中医骨伤科学]