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1、手术治疗豔臼骨折的临床疗效观察1=1富顺县人民医院张发平I李玉桥2罗仕武I何罗彬I杨勇I尚庆I胡晓刚I[摘要]目的初步探讨手术治疗靓臼骨折的临床疗效，并对相关因素进行分析。方法对2007年1月-2012年5月收治的移位的競臼骨折48例,所有骨折均按Judet-Letournel分类，简单骨折18例，复杂骨折3()例，其中后壁骨折12例，后柱骨折3例，前柱骨折1例，后柱伴后壁13例，横行伴后壁骨折10例，双柱骨折9例。分别采用Kocher-Langenbeck入路，骼腹股沟入路，前后联合入路行切开复位骨盆重建钢板、螺钉内固定。结果随访48例，按ma"影像学评分，解
2、剖复位28例，满意复位14例，复位较差6例，按改良的MerlecTsAubigne和Postel评分标准，优28例，良9例，可7例，差4例。简单骨折组和复杂骨折组临床优良率分别为94.4%和66.7%,解剖复位组和非解剖复位组的临床优良率分别为96.4%和50%,比较均有统计学差异(P〈0.05)并发症包括：创伤性競关节炎,异位骨化，坐骨神经损伤，伤口感染，股骨头缺血坏死。结论手术治疗廉臼骨折可获得满意的疗效，英屮骨折的复位质量，骨折类型与疗效之间有重要关系。关键词髓臼骨折；骨折固定术，内；切开复位；Surgicaltreatmentacetabulumfrac
3、tureclinicalcurativeeffectobservationZHANGFa-ping,LIYu-qiao,LUOShi-wu,HELuo-binJANGYong,SHANGQing,HUXiao-gangFuShunXiansichuanprovincepeople'shospitalorthopaedicFushun643200,China[Abstract]MethodsAnalyse48casesshiftoftheacetabulumfracturefrom2007Januaryto2012May,andallfracturesareatJ
4、udet-Letournelclassification,thereare18casesofsimplefracture,30casesofcomplicatedfracture,amongthemposteriorwallfracture12cases,aftercolumnfracture3casesinteriorcolumnfracture1case,posteriorcolumnandposteriorwallfracture13cases,transversewithbackwallfracture10cases,doublecolumnfractu
5、re9cases.RespectivelybymeansofKocher-Langenbeckintotheroad,iliacinguinalintotheroad,andthecombinedroadlineopenreductionpelvicreconstructionplate,screwinsidefixed.ResultsFollow-upthe48cases,accordingtotheanatomicalreattachmentmattaimagingscore,28casesweresatisfiedwithreset14cases,rese
6、tpoor6cases,accordingtotheimprovedMerledfsAubigneandPostelratingstandards,optimal28cases,good9cases,tolerable7cases,poor4cases.Simplefracturesclinicalexcellentandgoodratewas94.4%andcomplexfracturesclinicalexcellentandgoodratewas66.7%.Anatomyresetgroupandnonanatomyresetgroupofclinical
7、ratewere96.4%and50%respectively,thosecompareshassignificantdifference(P<0.05)complicationsincluded:traumatichiparthritis,ectopicossification,sciaticnervedamage,woundinfection,femoralheadnecrosisischemia.ConclusionsSurgicaltreatmentacetabulumfracturecanobtainsatisfactorycurativeeffect
8、,thequalityo
