中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
1期
24-25
,共2页
髋臼骨折%手术治疗%内固定
髖臼骨摺%手術治療%內固定
관구골절%수술치료%내고정
Acetabular fracture%Surgical treatment%Internal fixation
目的 探讨髋臼骨折手术治疗的方法及临床效果.方法 37例髋臼骨折,按Letournel分类:后壁骨折14例,后柱骨折5例,前柱骨折2例,横形骨折3例,T型骨折3例,后柱伴后壁骨折7例,双柱骨折3例.根据骨折类型采用前路、后路或前后联合入路,用重建钢板及螺钉内同定治疗.结果 本组获得7～61个月(平均25个月)随访,按Matta评分标准,优14例,良21例,可2例.结论 手术治疗是髋臼骨折治疗有效方法;手术入路选择,解剖复位,牢固固定及早期功能锻炼是治疗关键.
目的 探討髖臼骨摺手術治療的方法及臨床效果.方法 37例髖臼骨摺,按Letournel分類:後壁骨摺14例,後柱骨摺5例,前柱骨摺2例,橫形骨摺3例,T型骨摺3例,後柱伴後壁骨摺7例,雙柱骨摺3例.根據骨摺類型採用前路、後路或前後聯閤入路,用重建鋼闆及螺釘內同定治療.結果 本組穫得7～61箇月(平均25箇月)隨訪,按Matta評分標準,優14例,良21例,可2例.結論 手術治療是髖臼骨摺治療有效方法;手術入路選擇,解剖複位,牢固固定及早期功能鍛煉是治療關鍵.
목적 탐토관구골절수술치료적방법급림상효과.방법 37례관구골절,안Letournel분류:후벽골절14례,후주골절5례,전주골절2례,횡형골절3례,T형골절3례,후주반후벽골절7례,쌍주골절3례.근거골절류형채용전로、후로혹전후연합입로,용중건강판급라정내동정치료.결과 본조획득7～61개월(평균25개월)수방,안Matta평분표준,우14례,량21례,가2례.결론 수술치료시관구골절치료유효방법;수술입로선택,해부복위,뢰고고정급조기공능단련시치료관건.
Objective To discuss the teatment of acetabular fracture and the curative effect. Methods 37 cases with aeetabular fracture Accirdubg to Letournel classification,there were 14 posterior wall fractures,5 posterior column fractures,2 anterior column fractures,3 transverse fractures,3 T-shaped fractures,7 posterior column fractures accompanying posterior wall fractures and 3 both column fractures. All cases with acetabular fractures were treated with pelvic reconstruction plates and compression screws on single or combined iliongui-nal. Or kocher-langenbeek approach. Results All cases were followed-up of 25 months. Their function of hip joint was evaluated by Matta criteria as excellent in 14 cases,good in 21 ,and fair in 2. Conclusion Surgical treatment is effective for the treatment of acetabular fracture. Beside firm fixation and early function exercise,the operation approach and reduction quality are the keys of sucees.
