前后联合入路配合移动窗技术治疗复杂髋臼骨折的疗效观察

【摘要】〓目的〓探讨髂腹股沟入路联合K-L入路配合移动窗技术治疗复杂型髋臼骨折的方法和疗效。方法〓对本院18例复杂型髋臼骨折患者采用髂腹股沟入路联合K-L入路配合移动窗技术行重建钢板手术内固定治疗。应用Matta法评定骨折复位情况,D’Aubigine法评定髋关节功能,Brooker法评价异位骨化的发生,同时观察并发症的发生率。结果〓解剖复位12例,满意复位6例,无不满意复位;关节功能优良率达94.4%;并发异位骨化1例(1级);术后并发创伤性关节炎1例,股骨头坏死1例。结论〓采用前后联合入路配合“移动窗”技术治疗复杂髋臼骨折可尽可能全面暴露术野,提高复位固定的效果,促进患者髋关节的稳定性提升和髋关节功能的改善,同时减少并发症发生。

Effect of combined anterior and posterior approach operation in treatment of complicated acetabular fractures

【Abstract】〓Objective〓To investigate the clinical effect of combined anterior and posterior approach operation on treating complicated acetabular fractures. Methods〓The clinical data of 18 patients with complex acetabular fractures in our hospital were retrospectively analyzed. All cases were treated by combined anterior and posterior approach operation. According to Matta standard and D’Aubigine assessment,the clinical effects of fracture reduction and hip function were evaluated. Heterotopic ossification was assessed by Brooker standard, and all complication rate were observed. Results〓Anatomic reduction was in 12 cases, satisfactory reduction in 6 cases, no satisfactory reduction. D’Aubigine asscessment of excellent and good rate was 94.4%. One case complicated with heterotopic ossification..Complication included in one traumatic arthritis and one femoral head necrosis patients. Conclusion〓Combined anterior posterior approach operation in the treatment of complex acetabular fracture can explose operative field, enhance the anatomic reduction rate and clinical effect, improving joint function significantly, and decrease complication rate, which is worthy of further popularization.