摘要
目的 探讨切开复位内固定治疗髋臼骨折的方法和效果。方法 2 8例按照Letournel分型 ,髋臼前壁骨折 2例 ,前柱骨折 5例 ,前壁并前柱骨折 3例 ,后壁骨折 6例 ,后柱骨折 2例 ,后壁并后柱骨折 3例 ,横形骨折 2例 ,横形并后壁骨折 2例 ,双柱骨折 3例。采用髂腹股沟切口 12例 ,Kocher Langenbeck切口 13例 ,延长的髂股切口 3例。骨折复位后用骨盆重建钢板内固定 2 2例 ,可吸收螺钉内固定 6例。结果 按Matta标准 :解剖复位 15例 ,满意复位 9例 ,不满意复位 4例。结论 根据髋臼骨折类型选择手术入路 ,骨折复位满意、内固定可靠。
Objective To study the methods and effects of open reduction and internal fixation of acetabular fracture. Methods 28 cases were enrolled according to Letournels classification: anterior parietal fracture in 2 cases, anterior column fractures in 5 cases, anterior parietal and column fractures in 3 cases, tranverse and posterior parietal fractures in 2 cases, and double column fractures in 3 cases. Ilio inguinal incision was used in 12 cases, Kocher Langenbeck incision in 13 cases, and prolonged ilio inguinal incision in 3 cases. Pelvic reconstructive plate was used in 22 cases,and absorbable screw in 6 cases. Results According to Mattas standard:anatomical reduction: 15 cases;satisfactory reduction: 9 cases;unsatisfactory reduction: 4 cases. Conclusion Different incisions should be used according to different fracture types, through which satisfactory reduction and rigid fixation can be abtained.
出处
《临床骨科杂志》
2003年第1期46-48,共3页
Journal of Clinical Orthopaedics
关键词
髋臼骨折
骨折内固定术
骨盆重建钢板
可吸收螺钉
acetabular fractures
fracture fixation, intern al
pelvic reconstructive steel plate
absorbable screw
