髋臼骨折手术入路的选择  

Selection of operative approach for acetabular fracture

作　　者：李世和[1] 吴迪[1] 李骅[1] 何飞[1] 

机构地区：[1]昆明医学院第一附属医院骨科,昆明市650032

出　　处：《中华创伤骨科杂志》2004年第1期99-102,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：髋臼骨折是关节内骨折,骨折分为10种类型。由于骨盆是一个不规则形体,没有一个手术入路可以解决所有类型骨折的治疗,根据骨折类型,选择合适的入路是十分重要的。Kocher-Langenbeck入路、延长的髂股入路及髂腹股沟入路目前仍是使用较多的入路。但延长的髂股入路,由于操作复杂,并发症较多,使用比例正在减少;而髂腹股沟入路,由于优点突出,再加上手术技术的改进,使用的比例明显增加。联合入路由于暴露清晰,便于复位及内固定,国内外学者仍推荐使用。Acetabulum fracture, the inner fracture of the joint, has be en divided into 10 kinds. Because acetabulum is an irregular body, no single ope ration approach can solve all kinds of acetabular fracture. Appropriate selectio n of the operative approach according to the type of fracture is very important. Kocher-Langenbeck approach, extended-iliofemoral approach and ilioinguinal ap proach are often used in clinic now. Because of its complicated procedures and m any complications resulting from the approach, the application of extended-ilio femoral approach is decreasing. Because of its predominant advantage and improve ment of the operation techniques, the use of ilioinguinal approach is obviously increasing in proportion. Since the united approach can reveal clearly so that i t facilitates reduction and internal fixation, it is recommended by the surgeons at home and abroad.

关 键 词：髋臼骨折 手术入路 内固定 关节内骨折 组织损伤 

分 类 号：R687.3[医药卫生—骨科学]