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《手术治疗髋臼骨折的临床疗效-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、·422·临床骨科杂志JournalofClinicalOrthopaedics2014Aug;17(4)doi:10.3969/j.issn.1008-0287.2014.04.025·临床论著·手术治疗髋臼骨折的临床疗效张发平,李玉桥,罗仕武,何罗彬,杨勇,尚庆,胡晓刚摘要:目的探讨手术治疗髋臼骨折的临床疗效,并对相关因素进行分析。方法分别采用K—L入路、髂腹股沟入路、前后联合入路行切开复位骨盆重建钢板、螺钉内固定治疗48例髋臼骨折患者。结果术后按Matta影像学评分,解剖复位28例,满意复位14例,不满意复位6例。患者均获随访,时间12~58个月。按改良的Mer
2、ledAubign~和Postel评分标准:优28例,良9例,可7例,差4例。简单骨折和复合骨折临床优良率分别为94.4%和66.7%,解剖复位和非解剖复位的临床优良率分别为96.4%和50%,差异均有统计学意义(P<0.05)。结论手术治疗髋臼骨折可获得满意的疗效,骨折的复位质量、骨折类型与疗效密切相关。关键词:髋臼骨折;骨折固定术,内;切开复位中图分类号:R683.3;R687.32文献标识码:A文章编号:1008—0287(2014)04—0422—04Clinicalcurativeefectobservationonsurgicaltreatmentofac
3、etabulmnfractureZHANGFaping,LIYu—qiao,LUOShi—WU,HELuo—bin,YANG,SHANGQ,HXiao一凡g(DeptofOr—thopaedics,thePeoplesHospitalofFushunCounty,Fushun,Sichuan643200,China)Abstract:0bjectiveToinvestigatetheclinicalcurativeeffectofsurgicaltreatmentofacetabulumfracture,andtoanalysistherelatedfactors.M
4、ethodsAtotalof48patientswithfractureofacetabulumweretreatedwithKocher—Langenbeckapproach,iliacinguinalapproach,jointintotheroadlinebeforeandafterpelvicreconstructionplate(ORIF)andscrewinternalfixation.ResultsAccordingtotheMattaimagingscore,28casesgotanatomicalreat:tachment,14satisfactor
5、yreattachment,and6poorreattachment.Allthepatientsreceivedafollow—upfrom12to58months.AccordingtotheimprovedMerledAubign6andPostelratingstandards,28caseswereexcellent,9good,7fair.and4poor.Simplefracturesclinicalexcellent—goodratewas94.4%andcompositefracturesclinicalexcellent—goodratewas66
6、.7%.anatomyresetandnonanatomyresetofclinicalexcellent—goodratewere96.4%and50%re—spectively,thesedifferencecomparisonhadstatisticalsignificance(P<0.05).ConclusionsSurgicaltreatmentofacetabulumfracturecanobtainsatisfactorycurativeeffect,thequalityoffracturereductionandfracturetypeareclose
7、—lyrelatedwithcurativeeffect.Keywords:acetabulumfracture;fracturefixation,internal;openreduction髋臼骨折是一种严重的骨与关节损伤,随着交伤16例,重物砸伤9例。合并伤:同侧髋关节脱位通的发达和建筑业的发展,由钝性的高能量损伤造12例,同侧股骨骨折6例,腹腔脏器损伤5例,肋骨成的髋臼骨折日趋频发,大多数髋臼骨折患者骨折骨折6例,同侧胫骨骨折4例,颅内损伤3例,骨盆本身非常复杂,且常合并胸腹部和头部损伤等,保守后环骨折3例,骨盆前环骨折5例。术前常规摄骨治疗多
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