中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
1期
38-39
,共2页
曹建伟%何明武%张琼%廖有乔
曹建偉%何明武%張瓊%廖有喬
조건위%하명무%장경%료유교
漂浮体位%联合入路%内固定%复杂髋臼骨折
漂浮體位%聯閤入路%內固定%複雜髖臼骨摺
표부체위%연합입로%내고정%복잡관구골절
Floating body%Combined approach%Internal fixation%Complex acetabular fracture
目的:报道我院48例采用漂浮体位前后入路内固定治疗的复杂髋臼骨折治疗情况。方法:48例复杂髋臼骨折患者接受漂浮体位下前路髂腹股沟联合后路KL入路塑形肽板手术内固定治疗,骨折复位和固定顺序:前柱-后柱,外周髂骨翼-中心髋臼壁,大骨块-小骨块。结果:解剖复位35例(72.92%),满意复位13例(27.08%),无不满意复位(0%)。髋关节功能D'Aubigne评定优良率89.58%。并发症发生率8.33%。结论:对复杂髋臼骨折最好采用漂浮体位下前后联合入路内固定手术治疗,可尽可能全面暴露术野,提高复位固定的效果,减少并发症。
目的:報道我院48例採用漂浮體位前後入路內固定治療的複雜髖臼骨摺治療情況。方法:48例複雜髖臼骨摺患者接受漂浮體位下前路髂腹股溝聯閤後路KL入路塑形肽闆手術內固定治療,骨摺複位和固定順序:前柱-後柱,外週髂骨翼-中心髖臼壁,大骨塊-小骨塊。結果:解剖複位35例(72.92%),滿意複位13例(27.08%),無不滿意複位(0%)。髖關節功能D'Aubigne評定優良率89.58%。併髮癥髮生率8.33%。結論:對複雜髖臼骨摺最好採用漂浮體位下前後聯閤入路內固定手術治療,可儘可能全麵暴露術野,提高複位固定的效果,減少併髮癥。
목적:보도아원48례채용표부체위전후입로내고정치료적복잡관구골절치료정황。방법:48례복잡관구골절환자접수표부체위하전로가복고구연합후로KL입로소형태판수술내고정치료,골절복위화고정순서:전주-후주,외주가골익-중심관구벽,대골괴-소골괴。결과:해부복위35례(72.92%),만의복위13례(27.08%),무불만의복위(0%)。관관절공능D'Aubigne평정우량솔89.58%。병발증발생솔8.33%。결론:대복잡관구골절최호채용표부체위하전후연합입로내고정수술치료,가진가능전면폭로술야,제고복위고정적효과,감소병발증。
Objective:To report 48 cases in our hospital in the floating position complicated acetabular posterior internal fixation for treatment of fractures of before and after treatment.Methods:48 cases of complex acetabular fractures in patients receiving floating position anterior ilioinguinal and posterior KL approach shaping titanium plate internal fixation operation, reduction and fixation of fracture in order:anterior column after column--, peripheral iliac wing--center of acetabular wall, big bone block--bone block.Results:Anatomic reduction in 35 cases (72.92%), satisfactory reduction in 13 cases (27.08%), no satisfactory reduction (0%). D hip joint function‘Aubigne assessment of excellent and good rate was 89.58%. The complication rate was 8.33%.Conclusion:The best of complex acetabular fractures in the floating position combined anterior-posterior instrumentation operation treatment, can be as comprehensive as possible for field exposure, to improve the effect of reduction and fixation, complications.