摘要
目的 :探讨髋臼双柱骨折的手术治疗效果。方法 :对手术治疗的 2 1例髋臼双柱骨折患者进行回顾性分析。单纯K L入路 1例 ,单纯髂腹股沟入路 3例 ,K L联合髂腹股沟入路 17例。全部采用重建钢板及螺钉固定。结果 :骨折复位程度按照Matta标准 ,解剖复位 15例 ,满意复位 4例 ,不满意复位 2例。 17例获得随访 ,随访 1～ 5年 (平均 1.7年 ) ,髋关节功能评分采用改良Merled’Aubigne和Postel髋关节评分标准 :优 8例 ,良 5例 ,可 2例 ,差 2例 ,优良率为 78.6%。结论 :严格掌握手术指征、选择合适入路、骨折准确复位、牢固固定。
Objective:To investigate the characteristics of acetabular fractures and the effect of operative treatment.Method:Twenty-one patients with both column acetabular fractures were retrospectively reviewed,all patients were treated by open reduction and internal fixation,and all fractures were fixed with reconstruction plates and screws.Ilioinguinal approach 3 patients, Kocher-Langenbeck approach 1 patient,combined approach 17 patients.Result:The reduction was anatomic in 15,imperfect in 4,poor in 2.Seventeen patients were followed,the mean follow up were 1.7 years(1-5 years).The modified Merle d'Aubigne and Postel score system showed excellent results in 8 patients,good in 5,fair in 2,and poor in 2.Conclusion:According to our experience, strictly select the indications for operation、reasonable surgical approach、accurate reduction are essential to good result of double column acetabular fractures.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第14期1045-1048,共4页
Orthopedic Journal of China
关键词
髋骨折臼
手术
双柱骨折
Acetabulum fracture
Treatment
Double column fractures
