髋臼骨折三柱分型的应用体会  

Application of three-column classification in acetabular fracture

作　　者：侯志勇[1] 张瑞鹏[1] 樊仕才 吕刚[3] 庄岩[4] 易成腊[5] 郭晓东[6] 郑龙坡[7] 马献忠 陈华[9] 孙大辉[10] 王光林[11] 周琦石[12] 李伟栩[13] 冯卫[14] 林涨源[15] 秦晓东[16] 王建东[17] 石展英 李连欣[19] 刘光耀[20] 郭书权[21] 张英泽[1] Hou Zhiyong;Zhang Ruipeng;Fan Shicai;Lyu Gang;Zhuang Yan;Yi Chengla;Guo Xiaodong;Zheng Longpo;Ma Xianzhong;Chen Hua;Sun Dahui;Wang Guanglin;Zhou Qishi;Li Weixu;Feng Wei;Lin Zhangyuan;Qin Xiaodong;Wang Jiandong;Shi Zhanying;Li Lianxin;Liu Guangyao;Guo Shuquan;Zhang Yingze(Trauma Emergency Center,The Third Hospital of Hebei Medical University,Orthopaedic Research Institute of Hebei Province,Key Laboratory of Biomechanics of Hebei Province,NHC Key Laboratory of Intelligent Orthopeadic Equipment,Hebei Orthopedic Clinical Research Center,Shijiazhuang 050051,China;Department of Traumatic Surgery,Center for Orthopaedic Surgery,The Third Hospital Affiliated to Southern Medical University,Guangzhou 510630,China;Department of Trauma Orthopaedics,The Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Urumqi 830099,China;Department of Pelvic and Acetabular Surgery,Xi'an Honghui Hospital,Xi'an Jiaotong University College of Medicine,Xi'an 710054,China;Department of Trauma Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Orthopaedics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Orthopaedics,The Tenth People's Hospital of Shanghai,Shanghai 200072,China;Department of Pelvis and Acetabulum,Zhengzhou Orthopedic Hospital,Zhengzhou 450015,China;Department of Orthopaedic Medicine,General Hospital of Chinese PLA,Beijing 100853,China;Department of Orthopedic Traumatology,The First Hospital of Jilin University,Changchun 130021,China;Department of Traumatic Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Traumatic Orthopaedics,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Department of Orthopaedics,The Second Affiliated Hospital of Medical College,Zhejiang University,Hangzhou 310003,China;Department of Orthopaedics,The Second Hospital Affiliated to Mongolia Medical Universit

机构地区：[1]河北医科大学第三医院创伤急救中心,河北省骨科研究所,河北省骨科生物力学重点实验室,国家卫生健康委骨科智能器材重点实验室,河北省骨科疾病临床医学研究中心,石家庄050051 [2]南方医科大学第三附属医院骨科医学中心创伤骨科,广州510630 [3]新疆医科大学附属中医医院创伤骨科,乌鲁木齐830099 [4]西安交通大学附属西安红会医院骨创伤医院环骨盆病区,西安710054 [5]华中科技大学同济医学院附属同济医院创伤外科,武汉430030 [6]华中科技大学同济医学院附属协和医院骨科,武汉430022 [7]上海市第十人民医院骨科,上海200072 [8]郑州市骨科医院骨盆髋臼科,郑州450015 [9]中国人民解放军总医院骨科医学部,北京100853 [10]吉林大学第一医院创伤骨科,长春130021 [11]四川大学华西医院创伤骨科,成都610041 [12]广州中医药大学第一附属医院创伤骨科,广州510405 [13]浙江大学医学院附属第二医院骨科,杭州310003 [14]内蒙古医科大学第二附属医院骨科,呼和浩特010030 [15]中南大学湘雅医院骨科,长沙410031 [16]南京医科大学第一附属医院骨科,南京210029 [17]上海市第一人民医院骨科,上海200080 [18]广西医科大学附属柳州人民医院创伤骨科,柳州545006 [19]山东大学附属省立医院骨科,济南250021 [20]吉林大学中日联谊医院骨科,长春130033 [21]重庆医科大学附属第一医院骨科,重庆400016

出　　处：《中华创伤骨科杂志》2022年第6期510-514,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：髋臼解剖位置深,周围重要的血管、神经集聚,该部位损伤多由高能量暴力导致[1-2]。髋臼骨折的分型诊断困难,暴露、复位及固定技术要求高,是创伤骨科"皇冠上的明珠",其精准诊疗对骨科医师也是巨大的挑战[1-4]。1964年,Letournel与Judet教授将髋臼骨折分为5型简单、5型复杂骨折,自该分型提出以来,其已广泛应用于髋臼骨折的诊疗中[2,5]。然而,不少学者发现Letournel-Judet分型存在囊括不全、难以理解、对手术治疗指导价值低等弊端,临床应用中易出现骨折类型误诊、手术决策不当等情况,导致患者下肢残疾等严重并发症,给社会和家庭带来沉重负担,严重制约习总书记"健康中国"战略的实施。

关 键 词：髋臼骨折 骨科医师 复杂骨折 分型诊断 创伤骨科 应用体会 骨折类型 三柱分型 

分 类 号：R687.3[医药卫生—骨科学]