CAJ | 학술논문

目的：探讨髂腹股沟入路联合 K－L 入路配合移动窗技术治疗复杂型髋臼骨折的方法和疗效。方法对本院18例复杂型髋臼骨折患者采用髂腹股沟入路联合 K－L 入路配合移动窗技术行重建钢板手术内固定治疗。应用Matta 法评定骨折复位情况，D’Aubigine 法评定髋关节功能，Brooker 法评价异位骨化的发生，同时观察并发症的发生率。结果解剖复位12例，满意复位6例，无不满意复位；关节功能优良率达94．4％；并发异位骨化1例（1级）；术后并发创伤性关节炎1例，股骨头坏死1例。结论采用前后联合入路配合“移动窗”技术治疗复杂髋臼骨折可尽可能全面暴露术野，提高复位固定的效果，促进患者髋关节的稳定性提升和髋关节功能的改善，同时减少并发症发生。
목적：탐토가복고구입로연합 K－L 입로배합이동창기술치료복잡형관구골절적방법화료효。방법대본원18례복잡형관구골절환자채용가복고구입로연합 K－L 입로배합이동창기술행중건강판수술내고정치료。응용Matta 법평정골절복위정황，D’Aubigine 법평정관관절공능，Brooker 법평개이위골화적발생，동시관찰병발증적발생솔。결과해부복위12례，만의복위6례，무불만의복위；관절공능우량솔체94．4％；병발이위골화1례（1급）；술후병발창상성관절염1례，고골두배사1례。결론채용전후연합입로배합“이동창”기술치료복잡관구골절가진가능전면폭로술야，제고복위고정적효과，촉진환자관관절적은정성제승화관관절공능적개선，동시감소병발증발생。
Objective To investigate the clinical effect of combined anterior and posterior approach operation on treating complicated acetabular fractures. Methods The clinical data of 18 patients with complex acetabular fractures in our hospital were retrospectively analyzed. All cases were treated by combined anterior and posterior approach operation. According to Matta standard and D ’ Aubigine assessment,the clinical effects of fracture reduction and hip function were evaluated. Heterotopic ossification was assessed by Brooker standard , and all complication rate were observed. Results Anatomic reduction was in 12 cases, satisfactory reduction in 6 cases, no satisfactory reduction. D’Aubigine asscessment of excellent and good rate was 94.4%. One case complicated with heterotopic ossification..Complication included in one traumatic arthritis and one femoral head necrosis patients. Conclusion Combined anterior posterior approach operation in the treatment of complex acetabular fracture can explose operative field , enhance the anatomic reduction rate and clinical effect , improving joint function significantly , and decrease complication rate , which is worthy of further popularization.