CAJ | 학술논문

目的：探讨髋臼骨折的手术入路的选择及手术效果。方法对28例髋臼骨折患者，根据骨折的类型、移位的程度及骨折的时间，分别选择不同的术式、入路及不同的内固定材料进行手术。术后随访6～36个月。结果28例患者骨折在8～12周愈合。按Matta评定标准：解剖复位17例，满意复位11例。根据改良的Merled’Aubig-ne-Postel髋关节功能评分标准：优13例，良10例，可4例，差1例。出现1例股骨头坏死，1例创伤性关节炎。结论根据髋臼骨折的不同分型选择不同的手术入路以及正确的骨折复位内固定是获得满意疗效的基本前提。
목적：탐토관구골절적수술입로적선택급수술효과。방법대28례관구골절환자，근거골절적류형、이위적정도급골절적시간，분별선택불동적술식、입로급불동적내고정재료진행수술。술후수방6～36개월。결과28례환자골절재8～12주유합。안Matta평정표준：해부복위17례，만의복위11례。근거개량적Merled’Aubig-ne-Postel관관절공능평분표준：우13례，량10례，가4례，차1례。출현1례고골두배사，1례창상성관절염。결론근거관구골절적불동분형선택불동적수술입로이급정학적골절복위내고정시획득만의료효적기본전제。
Objective To discuss the choice of surgical approach and surgical results for ace-tabular fractures.Methods According to fracture type,displacement degree and fracture time, different procedures,approaches and internal fixation materials were selected for surgical treat-ment of acetabular fractures in 28 patients.After operation,patients were followed up for 8-36 months.Results All patients had fracture healing 8-1 2 weeks after operation.According to the Matta assessment standard,anatomical reduction was achieved in 1 7 patients and satisfactory re-duction in 11.According to the improved Merled’Aubigne-Postel hip rating scale,hip joint func-tion was excellent in 13 patients,good in 10,fair in 4,and poor in 1.In addition,femoral head nec-rosis occurred in 1 patient and traumatic arthritis in 1 .Conclusion The choice of surgical ap-proach and appropriate fracture fixation according to fracture type are the basic premises to a-chieve satisfactory curative effect in patients with acetabular fractures.