摘要
目的探讨严重髋臼骨折不同入路的手术治疗效果。方法对19例严重髋臼骨折采用不同入路行切开复位，重建钢板内固定。其中髂腹股沟入路治疗前柱骨折2例，前壁并前柱骨折3例，K—L入路治疗后柱骨折1例，后壁并后柱骨折4例，联合入路治疗横行骨折5例，横行并后壁骨折4例。结果通过6—16个月随访，复查X片，骨折完全愈合，愈合时间6-12个月。本组优12例，良5例，可1例，差1例。其中1例术后并发严重的创伤性关节炎，1例并发坐骨神经损伤。结论髋臼骨折临床疗效取决于正确的手术入路，满意的复位及可靠的内固定。
Objective To investigate the surgical effect of severe acetabulum fracture treated by different surgical approa- ches. Methods 19 patients of severe acetabulum fracture were treated with open reduction and internal fixation using reconstruc- tion plate by different approach. 2 cases of anterior column and 3 cases of posterior and wall select the Ilio-inguinal approach, 1 cases of posterior column and 4 cases of posterior and wall select the K-L approach ,5 cases of tansverse ,4 cases of transveme and posterior select double approach. Results Through 6 - 16 months of follow-up, X-ray countercheck, the bone healing was a- chieved completely within 6 - 12 monthes. 12 cases achieved excellent result,5 good, 1 fair and 1 bad. Conclusion The result of surgical treatment of acetabulum fracture lied on appropriate selection of approach, satisfactory reduction and reliable internal fixation.
出处
《中华全科医学》
2013年第10期1561-1562,共2页
Chinese Journal of General Practice
关键词
髋臼骨折
重建钢板
内固定术
Acetabulum fracture
Fracture fixation
Internal
