国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
11期
733-736,封3
,共5页
双尖钢板%髋臼%骨折%后壁%内固定%回顾性研究
雙尖鋼闆%髖臼%骨摺%後壁%內固定%迴顧性研究
쌍첨강판%관구%골절%후벽%내고정%회고성연구
Posterior wall%Acetabulum%Fractures%Internal fixation%Retrospective studies
目的 探讨双尖钢板在治疗髋臼后壁骨折中的应用价值.方法 回顾性分析2008年7月-2012年7月应用双尖钢板技术治疗的11例髋臼后壁骨折,其中男8例,女3例,年龄22 ～ 53岁,平均35.3岁,受伤至手术时间为1～19d,平均7.8d.所有患者均采取Kocher-langenbeck入路,取AO1/3管型钢板制成双尖钢板,结合重建钢板固定后壁骨折块.术后采用Matta复位标准评价骨折复位情况,采用改良Merled'Aubigne和Postel标准评定髋关节功能.结果 本组11例患者获得平均25个月(12 ～33个月)门诊或电话随访.末次随访时骨折复位质量:优7例,良3例,可1例,差0例,优良率90.9％;根据Merled'Aubigne和Postel评分标准评定患者疗效:优6例,良3例,可2例,差0例,优良率81.8％.其中术后1例患者发生异位骨化;无感染、无股骨头缺血性坏死、无创伤性关节炎等并发症的发生.结论 对于髋臼后壁存在无法用螺钉固定的骨折块或存在臼缘小型骨折块时,双尖钢板结合重建钢板可以提供坚强、牢靠的固定,术后患者功能恢复好,是一项有效的固定方式.
目的 探討雙尖鋼闆在治療髖臼後壁骨摺中的應用價值.方法 迴顧性分析2008年7月-2012年7月應用雙尖鋼闆技術治療的11例髖臼後壁骨摺,其中男8例,女3例,年齡22 ～ 53歲,平均35.3歲,受傷至手術時間為1～19d,平均7.8d.所有患者均採取Kocher-langenbeck入路,取AO1/3管型鋼闆製成雙尖鋼闆,結閤重建鋼闆固定後壁骨摺塊.術後採用Matta複位標準評價骨摺複位情況,採用改良Merled'Aubigne和Postel標準評定髖關節功能.結果 本組11例患者穫得平均25箇月(12 ～33箇月)門診或電話隨訪.末次隨訪時骨摺複位質量:優7例,良3例,可1例,差0例,優良率90.9％;根據Merled'Aubigne和Postel評分標準評定患者療效:優6例,良3例,可2例,差0例,優良率81.8％.其中術後1例患者髮生異位骨化;無感染、無股骨頭缺血性壞死、無創傷性關節炎等併髮癥的髮生.結論 對于髖臼後壁存在無法用螺釘固定的骨摺塊或存在臼緣小型骨摺塊時,雙尖鋼闆結閤重建鋼闆可以提供堅彊、牢靠的固定,術後患者功能恢複好,是一項有效的固定方式.
목적 탐토쌍첨강판재치료관구후벽골절중적응용개치.방법 회고성분석2008년7월-2012년7월응용쌍첨강판기술치료적11례관구후벽골절,기중남8례,녀3례,년령22 ～ 53세,평균35.3세,수상지수술시간위1～19d,평균7.8d.소유환자균채취Kocher-langenbeck입로,취AO1/3관형강판제성쌍첨강판,결합중건강판고정후벽골절괴.술후채용Matta복위표준평개골절복위정황,채용개량Merled'Aubigne화Postel표준평정관관절공능.결과 본조11례환자획득평균25개월(12 ～33개월)문진혹전화수방.말차수방시골절복위질량:우7례,량3례,가1례,차0례,우량솔90.9％;근거Merled'Aubigne화Postel평분표준평정환자료효:우6례,량3례,가2례,차0례,우량솔81.8％.기중술후1례환자발생이위골화;무감염、무고골두결혈성배사、무창상성관절염등병발증적발생.결론 대우관구후벽존재무법용라정고정적골절괴혹존재구연소형골절괴시,쌍첨강판결합중건강판가이제공견강、뢰고적고정,술후환자공능회복호,시일항유효적고정방식.
Objective To explore the efficacy of double fork plate in treating the posterior wall fracture of the acetabulum.Methods Reviewed 11 patients who had treated with open reduction and internal fixation with double fork plates for posterior wall fracture of the acetabulum from July 2008 to July 2012,including 8 male cases and 3 female cases with an average age of 35.3 years(from 22 to 53 years).The average time from getting injury to operation was 7.8 days(from 1 to 19 days).The operations were performed through the Kocher-langenbeck approach.Double fork plates(formed from a three-or four-tubular plate) with an overlapping reconstruction plate used for posterior wall fragments.The functional outcomes were evaluated by the modified Merled'Aubigne and Postel'clinical garding system.The radiographs were graded according to the Matte criteria.Rmults The patients were adopted telephone or outpatient follow-up for 25 months on average(from 12 to 33 months).By the Matte criteria,7 cases achieved excellent reduction,3 good reduction,1 case fair reduction and none poor reduction,with the good and excellent rate of 90.9％.By the modified Merled'Aubigne and Postel'critria,functional recovery of the affected hip at the last followe-up was rated as excellent in 6 cases,good in 3 cases,fair in 2 cases and none poor,with the good and excellent rate of 81.8％.Heterotopic ossification was happened to 1 patient.Neither infection nor ischemic necrosis of the femoral head was recorded.Coclusion Double fork plates with an overlapping reconstruction plate can provid stable fixation and allow for early functional exercise.So the use of Double fork plates have a certain clinical value.
