CAJ | 학술논문

髋臼是人体的重要承重关节，髋臼方形区是髋臼内侧壁的重要结构，具有特殊的形态结构和重要功能。方形区骨折是髋臼骨折中常遇到的骨折，由于髋臼方形区处于骨盆内侧，所以手术中的显露及复位十分困难。同时，髋臼方形区骨质较薄较难固定，外侧有髋关节，选择合适的内固定和对相关解剖的了解十分重要。方形区骨折后，股骨头容易向内侧移位，甚至突入盆腔造成嵌顿，其复位和治疗一直是骨科中的难点。对于方形区骨折不同的治疗方法，其疗效也不一。本文就方形区的解剖学特点、手术入路选择、内固定治疗方式、治疗要点和疗效等做一综述。
관구시인체적중요승중관절，관구방형구시관구내측벽적중요결구，구유특수적형태결구화중요공능。방형구골절시관구골절중상우도적골절，유우관구방형구처우골분내측，소이수술중적현로급복위십분곤난。동시，관구방형구골질교박교난고정，외측유관관절，선택합괄적내고정화대상관해부적료해십분중요。방형구골절후，고골두용역향내측이위，심지돌입분강조성감돈，기복위화치료일직시골과중적난점。대우방형구골절불동적치료방법，기료효야불일。본문취방형구적해부학특점、수술입로선택、내고정치료방식、치료요점화료효등주일종술。
Acetabular is an important human joint for weight bearing. Quadrilateral plate is a crucial structure of medial acetabulum with special morphology and important function. Quadrilateral plate fractures are common fracture in acetabulum. Quadrilateral plate fracture is hard to expose and reduction because it is in the medial of acetabulum. At the same time ,the bone in the quadrilateral plate is not easy to fixed for thinning bones and adjacent to the articular cavity. The operator should know well about the anatomy and choose the suitable internal fixation. After quadrilateral plate fractures ,the femur head may?be displace medially even break into pelvis. That make reduction and treatment always be a challenge. With different kinds of fractures,the efficacy of treatment is not the same. This paper intend to review the relation of anatomic features,approaches, internal fixations,key point of treatment and efficacy.