摘要
目的探讨一期前后联合入路在治疗复杂髋臼骨折中的应用。方法对23例复杂髋臼骨折行一期前后联合入路治疗。按"AO"分类:B型骨折17例,其中T型骨折7例、横行骨折5例、横行+后壁骨折3例、前柱后+横行骨折2例,C型骨折6例。全部用重建钢板固定。结果术后均获随访,随访时间12～36个月,平均19.1个月。疗效评价按美国矫形外科学会制定的标准:优12例,良7例,可1例,差3例。优良率为82.6%。结论一期前后联合入路有显露好、复位方便、固定牢靠,适用于波及两柱、复杂的髋臼骨折的治疗。
Objective To explore the clinical application of one stage antero-post combination approach in the treatment of complicated acetabulum fracture. Methods Retrospective analysis the treatment of 23 patients According to AO standard： 17 cases were B type fracture （ included 7 T type cases,5 transverse fracture cases, 3 transverse ＋ posterior wall cases and 2 ante-posterior column ＋ transverse cases ） and 6 cases were C type. All of them had been fixed with reestablishment plate. Results By following up with an average 19. 1 months （rang from 12 to 36 months）, according to the American Academy of Orthopaedic Surgery （AAOS） scoring system： the best,better,good and worse cases were 12, 7 , 1 and 3 respectively. Conclusion One stage antero-post combination approach showed easy reposition and stable fixation, it is applicable of complicated acetabulum fracture.
出处
《中国现代药物应用》
2008年第22期43-44,共2页
Chinese Journal of Modern Drug Application
关键词
一期
前后联合入路
髋臼骨折
内固定
One stage
Antero-post combination approach
Acetabular fracture
Fixation
