摘要
自1990年起对20例髋臼骨折施行切开复位内固定治疗,达到解剖复位16例,满意3例。经平均19个月随访,疗效较好。作者主张积极的切开复泣内固定,凡骨折移位超过2mm、骨折涉及负重区域、关节内有碎骨块者为手术适应证。在本资料中,Letournel分类对手术入路有很好的临床价值。另外,CT检查可以为准确分类提供更多信息。
AbstractSince 1990. 20 cases of acetabulum fractures were treated by open reduction and internal fixation. 19 cas-es obtained anatomic or satisfactory reduction. An av-erage of follow-up duration was 19 months.The re-sults were good. The authors believed that the open reduction and internal fixation was the method of choice to treat displaced acetabulum fractures,espe-cially in the articular displacement of more than 2 mm,fracture of the weight-bearing dome of acetabulum and existence of intra-articular osseous fragment.The val-ue of Letounel’s classification is useful as a guide for surgical approach.In addition, CT provides much in-formation about classmcation of the acetabulum.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第8期505-506,共2页
Chinese Journal of Orthopaedics