CAJ | 학술논문

目的：本研究旨在对比分析不同手术入路治疗复杂髋臼骨折的临床疗效，为临床医生治疗复杂髋臼骨折提供可靠依据。方法对30例不同骨折分类的复杂髋臼骨折患者选择不同的手术入路进行治疗，对比分析不同手术入路患者的 Matta 影像学评分标准和 Matta 临床评分及并发症发生情况。结果扩展髂股入路组异位骨化发生率高于其他入路组，前后联合入路组 Matta 临床评分优良率为87.5%。手术的主要并发症主要包括异位骨化、创伤性关节炎、坐骨神经损伤等。结论对于髋臼骨折的治疗，应该依据患者骨折类型来选择最佳的手术入路方式，在单一常规切口不能充分显露骨折部位的情况下可以选择联合入路，降低手术并发症发生率，最大限度恢复髋关节功能。
목적：본연구지재대비분석불동수술입로치료복잡관구골절적림상료효，위림상의생치료복잡관구골절제공가고의거。방법대30례불동골절분류적복잡관구골절환자선택불동적수술입로진행치료，대비분석불동수술입로환자적 Matta 영상학평분표준화 Matta 림상평분급병발증발생정황。결과확전가고입로조이위골화발생솔고우기타입로조，전후연합입로조 Matta 림상평분우량솔위87.5%。수술적주요병발증주요포괄이위골화、창상성관절염、좌골신경손상등。결론대우관구골절적치료，응해의거환자골절류형래선택최가적수술입로방식，재단일상규절구불능충분현로골절부위적정황하가이선택연합입로，강저수술병발증발생솔，최대한도회복관관절공능。
Objective To comparatively analyze the clinical effects of different surgical approaches in the treatment of complex acetabular fracture, in order to provide reliable reference for treating complex acetabular fracture. Methods A total of 30 patients of complex acetabular fracture with different fracture classification received different surgical approaches for treatment. Comparisons were made on Matta imageing criteria, Matta clinical score, and complications in different approaches patients. Results Expanded iliofemoral approach group had higher incidence of heterotopic ossification than the other groups. Good rate of clinical score in anterior-posterior combined approach group was 87.5%. Main complications included heterotopic ossification, traumatic arthritis, and sciatic nerve injury. Conclusion The best approach in surgery should be chosen by fracture classification in the treatment of acetabular fracture. When conventional single incision cannot fully show fracture area, combined approaches is selectable for reducing incidence of complications and maximumly recovery hip joint function.