CAJ | 학술논문

目的总结髋臼横断伴后壁骨折手术治疗的临床疗效.方法 1993年8月- 2005年1月北京市顺义区院骨科手术治疗有明显移位的髋臼横断伴后壁骨折45例46髋,获得完整随访.影像学结果采取Matta放射学标准进行评价,临床效果采取改良的Merle d'Aubigné和Postel评分系统进行评价.结果 45例患者均获随访,随访时间16 ～48个月,平均34个月,复查X线片显示骨折均获愈合,愈合时间3～5个月.根据Matta的X线片评估标准:优17髋,良18髋,中7髋,差4髋；优良率76％.根据改良的Merle d' Aubigné和Postel评分系统对临床结果评估:优14髋,良22髋,中8髋,差2髋；优良率78.3％.结论髋臼横断伴后壁骨折行手术治疗可以取得满意疗效,选择合适的手术时机、合理的手术入路、骨折解剖复位、坚强内固定是取得满意疗效的关键.
목적 총결관구횡단반후벽골절수술치료적림상료효.방법 1993년8월- 2005년1월북경시순의구원골과수술치료유명현이위적관구횡단반후벽골절45례46관,획득완정수방.영상학결과채취Matta방사학표준진행평개,림상효과채취개량적Merle d'Aubigné화Postel평분계통진행평개.결과 45례환자균획수방,수방시간16 ～48개월,평균34개월,복사X선편현시골절균획유합,유합시간3～5개월.근거Matta적X선편평고표준:우17관,량18관,중7관,차4관；우량솔76％.근거개량적Merle d' Aubigné화Postel평분계통대림상결과평고:우14관,량22관,중8관,차2관；우량솔78.3％.결론 관구횡단반후벽골절행수술치료가이취득만의료효,선택합괄적수술시궤、합리적수술입로、골절해부복위、견강내고정시취득만의료효적관건.
Objective To evaluate the results of patients operatively treated transverse plus posterior wall fractures of the acetabulum.Methods Review forty-five patients who had operated for transverse plus posterior wall fractures of the acetabulum 1 retrospectively with fracture displacement,from August 1993 to January 2005 in Department of Orthopaedics,Beijing Shunyi Hospital.The radiographs were graded according to the criteria described by Matta.The functional outcome was evaluated using a modification of the clinical grading system developed by Merle d'Aubigné and Postel.Result Forty-five patients were followed up 16 to 48 months with an average of 34 months.The radiographic result was excellent in seventeen patients,good in eighteen,fair in seven,and poor in four.The clinical outcome at the time of final follow- up was graded as excellent in fourteen patients,good in twenty- two,fair in eight,and poor in two.Conclusion Operative treatment for transverse plus posterior wall fractures of the acetabulum has a satisfying therapeutic effect.The appropriate operation time,reasonable operation approach,anatomic reduction and stable internal fixation is the key to obtain good results.