CAJ | 학술논문

目的：探讨髋臼骨折手术治疗方法的选择。方法：21例髋臼骨折患者，均按Letournel髋臼骨折分类法进行分型。常用手术入路为Kocher～Langenbeck入路、髂腹股沟入路和前后联合入路。结果：平均随访8个月（3～15个月），根据改良的Merle d ’和Postel的髋臼骨折临床结果评分标准，优10例，良6例，一般2例，差3例，优良率为76．1％，无1例死亡、感染及不愈合。结论：早期对复杂髋臼骨折进行手术治疗，可获得满意的复位。选择合适的治疗方法对减少手术创伤、准确复位骨折，促进关节功能恢复有重要意义。
목적：탐토관구골절수술치료방법적선택。방법：21례관구골절환자，균안Letournel관구골절분류법진행분형。상용수술입로위Kocher～Langenbeck입로、가복고구입로화전후연합입로。결과：평균수방8개월（3～15개월），근거개량적Merle d ’화Postel적관구골절림상결과평분표준，우10례，량6례，일반2례，차3례，우량솔위76．1％，무1례사망、감염급불유합。결론：조기대복잡관구골절진행수술치료，가획득만의적복위。선택합괄적치료방법대감소수술창상、준학복위골절，촉진관절공능회복유중요의의。
Objective:To improve the effect of operative treatment of acetabular fractures in the treatment of the fractures .To investi-gate the selection of different methods to treat the acetabular fractures .Methods:In this series, 21 acetabular fractures were reviewed and classified according to Letournel classification , Kocher-Langenbeck , ilioinguinal and combined anterior and posterior approach were a-dopted.Results:The average follow -up period was months (ranging from 3 to 15months) .Excellent results were found in 10cases , good in 6, fair in 2, and poor in 3.The excellent and good rate was 76.1%.Injection and non -union were not found in this series and the mortality rate was 0.Conclusions:Satisfactory result can be procured through earlier operation in the complexity acetabular fractures .It is very important for decreasing the surgical injuries and complications , facilitating the recovery of the functions to select the appropriate ap-proach.