CAJ | 학술논문

目的：评价髋臼后壁骨折内固定术后影像学及临床效果。方法：男17例，女6例；年龄17～73岁，平均42岁；伴股骨头后脱位13例，坐骨神经损伤3例。按照Tile分型，A1-1型7例，A1-2型12例，A1-3型4例。结果：23例患者术后均获得随访，随访时间为6～36个月，平均21个月。用系列X片及CT判断骨折复位情况及接骨板螺钉位置：解剖复位19例，满意复位4例。固定骨折块的拉力螺钉及接骨板位置良好，无螺钉进入或干扰髋关节。用改良d’ Aubigne和Postel髋关节评分评定临床。结果：优15例，良6例，可2例，优良率91％。结论：准确的复位和可靠的内固定是骨折获得满意疗效的前提。
목적：평개관구후벽골절내고정술후영상학급림상효과。방법：남17례，녀6례；년령17～73세，평균42세；반고골두후탈위13례，좌골신경손상3례。안조Tile분형，A1-1형7례，A1-2형12례，A1-3형4례。결과：23례환자술후균획득수방，수방시간위6～36개월，평균21개월。용계렬X편급CT판단골절복위정황급접골판라정위치：해부복위19례，만의복위4례。고정골절괴적랍력라정급접골판위치량호，무라정진입혹간우관관절。용개량d’ Aubigne화Postel관관절평분평정림상。결과：우15례，량6례，가2례，우량솔91％。결론：준학적복위화가고적내고정시골절획득만의료효적전제。
Objective:To evaluate image after internal fixation of acetabular posterior wall fracture and its clinical effects .Methods:Male 17 cases, female, 6;17~73 year of age, 42 years on average;posterior dislocation of the femoral head with 13 cases, 3 cases of in-jury of the sciatic nerve .According to the Tile patterns , A1-1:7 cases, A1-2:12 cases, A1-3:4 cases.Results:23 cases with post-operative follow-up had been made available , follow-up 6-36 months, an average of 21 months.To observe fracture reduction and plate screw location by X series tablets and CT: anatomic reduction of 19 cases, satisfactory reduction 4.Immobilize the lag screw and plate position block well , hip screw-free access or interference .With improved d'Aubigne and Postel hip score evaluation of clinical re-sults:15 cases, benign and 6 cases, 2 cases, excellent rate of 91%.Conclusion:Accurate reduction and reliable internal fixation might be a prerequisite for satisfactory efficacy of acetabular posterior wall fracture .