CAJ | 학술논문

目的：探讨对髋臼横行骨折患者应用髋臼前后柱拉力螺钉结合重建钢板固定治疗的临床疗效。方法选取髋臼横行骨折患者50例，对其进行髋臼前后柱拉力螺钉结合重建钢板固定手术治疗，观察患者手术时出血量、手术时间等，手术治疗后患者髋臼复位情况以及髋关节功能恢复情况。结果平均手术时间为3.5小时，平均出血量为950 ml，根据 matta 复位，25例解剖复位，21例满意复位，4例复位不满意，髋关节功能优良率为86.0%。结论对髋臼横行骨折患者采取髋臼前后柱拉力螺钉结合重建钢板固定手术治疗临床疗效突出。
목적：탐토대관구횡행골절환자응용관구전후주랍력라정결합중건강판고정치료적림상료효。방법선취관구횡행골절환자50례，대기진행관구전후주랍력라정결합중건강판고정수술치료，관찰환자수술시출혈량、수술시간등，수술치료후환자관구복위정황이급관관절공능회복정황。결과평균수술시간위3.5소시，평균출혈량위950 ml，근거 matta 복위，25예해부복위，21례만의복위，4례복위불만의，관관절공능우량솔위86.0%。결론대관구횡행골절환자채취관구전후주랍력라정결합중건강판고정수술치료림상료효돌출。
Objective To investigate the clinical effect of the application of the acetabular transverse fracture in the treatment of the acetabular fracture and the reconstruction of the plate fixation with the lag screw of the acetabulum. Methods 50 cases of patients with transverse acetabular fracture were selected,and subject to acetabular posterior column lag screw combined with reconstruction plate fixation treatment,Bleeding volume,operation time, the acetabulum repositioning and hip joint function recovery after surgical of patients were observed. Results The average operation time was 3.5 hours, the average amount of bleeding was 950ml, according to Matta reduction, 25 cases of anatomic reduction, satisfactory reduction in 21 cases, 4 cases of unsatisfactory reduction, and the excellent and good rate of hip joint function was 86.0%. Conclusion The clinical effect of the acetabular transverse fracture patients with the acetabular anterior and posterior column lag screw combined with the reconstruction plate fixation is worthy of promotion.