摘要
目的：探讨髂腹股沟入路治疗髋臼骨折的临床疗效。方法对21例髋臼骨折患者采用髂腹股沟入路手术复位内固定治疗。结果21例均获得随访，时间10~54个月。患者骨折全部愈合，未发生感染；创伤性关节炎2例，股外侧皮神经损伤7例。术后根据Matta影像学评定标准，解剖复位13例，满意复位5例，不满意复位3例。按照改良D′Aubigne-Postel关节功能评分标准：优8例，良9例，可2例，差2例。结论髋臼骨折中的前方伴后方半横形骨折、大部分双柱骨折及部分T形骨折通过单纯髂腹股沟入路可以获得满意的临床疗效。
Objective To explore the clinical effect of the treatment of acetabular fractures via the ilioinguinal ap-proach. Methods 21 cases of compound acetabular fractures were treated through the ilioinguinal approach. Results 21 cases were followed up from 10 months to 54 months. All fractures were healed without infection;the incidence of post-traumatic osteoarthritis was 2 cases and the injury of lateral femoral cutaneous nerve was 7 cases. Concerned the results of reduction （ Matta radiographic score） after operation,13 cases and 5 cases achieved anatomical and satis-fied reduction respectively,and 3 cases got unsatisfied reduction, According to the D′Aubigne-Postel joint functional rating scale,the result of the treatment was evaluated as excellent in 8 cases,good in 9,fair in 2 and poor in 2. Con-clusions On the acetabular fractures,the acetabular fractures associated with anterior and posterior hemi-transverse fractures,most both column fractures and partial T-shape fractures can be treated with via the ilioinguinal approach, which can get a satisfactly clinical effect.
出处
《临床骨科杂志》
2015年第5期605-606,共2页
Journal of Clinical Orthopaedics
关键词
髋臼骨折
手术入路
腹股沟
acetabular fracture
operative approach
inguen
