三维记忆固定器修复髋臼后壁骨折伴关节后脱位的疗效研究  

Efficacy of Three Dimensional Memory Fixator in Repair of Posterior Wall Acetabular Fractures with Posterior Dislocation

作　　者：雷玉凯 曲志军 许硕贵[3] Lei Yukai;Qu Zhijun;Xu Shuogui(Department of Orthopedics,Liaoyang Central Hospital,Liaoyang 111000,China;Department of Obstetrics and Gynecology,Hangzhou Red Cross Hospital,Hangzhou 311000,China;Department of Orthopedics,Changhai Hospital Affiliated to Second Military Medical University,Shanghai 200000,China)

机构地区：[1]辽阳市中心医院骨科,辽宁辽阳111000 [2]杭州市红十字会医院妇产科,浙江杭州311000 [3]第二军医大学附属长海医院骨科,上海200000

出　　处：《实用骨科杂志》2018年第3期215-218,共4页Journal of Practical Orthopaedics

基　　金：国家自然科学基金资助项目面上项目(30872640)

摘　　要：目的观察三维记忆固定器修复髋臼后壁骨折伴关节后脱位的疗效及髋关节功能恢复的影响。方法选取我院收治的髋臼后壁骨折伴关节后脱位患者91例作为研究对象,按照内固定物不同分为三维记忆组46例和重建钢板组45例,其中三维记忆组给予三维记忆内固定器修复治疗,重建钢板组给予重建钢板内固定治疗。观察两组临床指标、髋关节功能、临床疗效,并统计并发症发生率情况。结果三维记忆组手术时间、术中出血量显著低于重建钢板组(P<0.05);治疗后1年两组关节畸形、活动度、疼痛程度、肢体功能评分显著高于治疗前(P<0.05),且三维记忆组显著高于重建钢板组(P<0.05);三维记忆组优良率91.30%稍高于重建钢板组82.22%(P>0.05);三维记忆组并发症发生率4.35%,稍低于重建钢板组13.33%(P>0.05)。结论三维记忆固定器用于修复髋臼后壁骨折伴关节后脱位可有效促进髋关节功能恢复,并发症少,临床疗效确切。Objective To observe the influence of three dimensional memory fixator in repair of posterior wall fracture complicated with posterior dislocation of joint on curative effect and hip joint function recovery.Methods 91 cases of patients with posterior wall fracture complicated with posterior dislocation of joint treated in our hospital were selected as the study objects.According to different internal fixations,the patients were divided into three-dimensional memory group(45 cases)and reconstructive plate group(46 cases).The three-dimensional memory group underwent three dimensional memory internal fixators repair,and the reconstructive plate group underwent reconstruction plate internal fixation.Clinical indicators,hip function,clinical efficacy were observed in the two groups,and the incidence of complications was calculated.Results Operation time,intraoperative blood loss in three-dimensional memory group were significantly lower than those in the reconstructive plate group(P<0.05).After 1 year treatment,joint deformity,mobility,pain degree and limb function score were significantly higher than those before treatment in the two groups(P<0.05).Those in the three-dimensional memory group were significantly higher than those in the reconstructive plate group(P<0.05).The excellent and good rate of the three-dimensional memory group was 91.30%,slightly higher than that of 82.22%of the reconstructive plate group(P>0.05).Complication rate of 3D memory group was 4.35%,slightly lower than that of 13.33%in the reconstructive plate group(P>0.05).Conclusion Three dimensional memory fixator in Repair of posterior wall fracture complicated with posterior dislocation of joint,it can effectively promote the recovery of hip joint function,with less complications and definite clinical effect.

关 键 词：三维记忆固定器 重建钢板内固定 髋臼后壁骨折 关节后脱位 髋关节功能 

分 类 号：R683.42[医药卫生—骨科学]