髋臼双柱骨折的诊疗进展  

Diagnosis and treatment of both-column acetabular fractures

作　　者：李连欣 王利民 王晓梅[2] Li Lianxin;Wang Limin;Wang Xiaomei(Department of Trauma Center,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Nuclear Medicine Department,Jinan Central Hospital Affiliated to Shandong First Medical University,Jinan 250013,China)

机构地区：[1]山东第一医科大学附属省立医院创伤中心,济南250021 [2]山东第一医科大学附属济南市中心医院,济南250013

出　　处：《创伤外科杂志》2023年第10期721-725,共5页Journal of Traumatic Surgery

基　　金：山东省重点研发计划(2021SFGC0502);山东省自然基金面上项目(ZR2022MH056)。

摘　　要：双柱骨折是最复杂的髋臼骨折类型,处理极具挑战性。明确双柱骨折致伤机制和分型,实现髋臼关节面解剖复位并牢固固定是获得良好临床疗效的基础。本文回顾双柱骨折相关最新文献并结合笔者自身临床经验,对双柱骨折的流行病学特点,致伤机制和分型,以及治疗方案的选择进行论述。同时重点对手术治疗中入路的选择、复位固定技巧以及后壁骨块的处理进行阐述。The both-column acetabular fracture is the most complex type of acetabular fractures and its management is extremely challenging.To clarify the injury mechanism and classification of both-column fractures and to achieve anatomical reduction and firm fixation of the acetabular articular surface are the basis for good clinical outcomes.This article reviews the latest literature on both-column fractures and combines with the authors’own clinical experience to discuss the epidemiological characteristics,injury mechanisms,classification,and treatment options of both-column fractures.At the same time,the selection of surgical approaches,the techniques of reduction and fixation,and the treatment of posterior wall fracture fragments were elaborated.

关 键 词：髋臼骨折 双柱骨折 手术治疗 

分 类 号：R687.3[医药卫生—骨科学]