目的:总结髋臼骨折的手术入路和复位固定经验。方法:2006年1月至2008年2月经Kocher Langenbeck、髂腹股沟、前后联合入路手术治疗髋臼骨折52例。结果:随访6~36个月,优良率90.4%。术后发生创伤性关节炎10例,股骨头坏死2例,异位骨化10例,所有患者均骨愈合。结论:手术治疗髋臼骨折能较好地恢复骨盆形态及下肢活动功能,防止骨折畸形愈合。正确的选择手术入路和术中良好的复位固定是提高髋臼骨折疗效的基础。
Citation:
WU Gang,FANG Yue,PEI FUxing,et al.. Experience of Operative Approach, Reduction and Fixation to Acetabular Fracture in 52 Cases. West China Medical Journal, 2009, 24(7): 1681-1683. doi:
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- 1. LETOURNELE, JNDET R. Fractnres of the acetabulum,Znd[M].Newyork:springer Verlag,1993.
- 2. TORNETTA P 3rd.Displaced acetabular fractures:indications for operative management[J]. Jam Acad Othop Surg,2001,9:18-28.
- 3. MEARS D C, VELYVIS J H, CHANG C P. Displaced acetabular fractures managed operatively:indication of outcome[J]. Clin Orthop,2003,(407):173-86.
- 4. TEMPLE J. Total hipreplacement[J]. Nure Stand,2004,19:44-51.
- 5. 杨效宁,杨静,沈彬,等.髋臼骨折术后创伤性关节炎的治疗[J].中华骨科杂志,2005,25(12):721-724.
- 6. 李世和,吴迪,李骅,等.髋臼骨折手术入路的选择[J].中华创伤骨科杂志,2004,6(9):99-702.