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单切口配合拉力螺钉技术在复杂髋臼骨折中的应用
引用本文:石振,张裕,刘艳西,郑勇. 单切口配合拉力螺钉技术在复杂髋臼骨折中的应用[J]. 中国中医骨伤科杂志, 2011, 0(2): 30-32
作者姓名:石振  张裕  刘艳西  郑勇
作者单位:湖北省咸宁市中心医院;
摘    要:目的:评价单切口配合拉力螺钉技术在复杂髋臼骨折中的应用。方法:2004年2月~2010年3月,收治31例复杂髋臼骨折患者。按Letournel的分类方法,双柱骨折19例,T形骨折8例,前方伴后方半横行4例。病例中21例行髂腹股沟入路,10例行Kocher-Langenbeck入路。结果:按Matta标准评价髋臼复位质量:解剖复位9例,满意复位16例,不满意复位6例,优良率80.6%。髋关节功能参照改良的Merled,Aubigne标准:优8例,良15例,可3例,差5例,优良率74.2%。并发症:坐骨神经损伤2例、创伤性关节炎2例、异位骨化2例,股动脉血栓1例。结论:单切口配合拉力螺钉技术创伤相对较小,固定满意,在处理复杂髋臼骨折中是一种可行的方法。

关 键 词:单切口  拉力螺钉  髋臼骨折

Single-incision with Lag Screw Technique in Complex Acetabular Fractures
SHI Zhen ZHANG Yu LIU Yanxi ZHENG YongOrthopedic Surgery,Xianning Central Hospital of Hubei. Single-incision with Lag Screw Technique in Complex Acetabular Fractures[J]. Chinese Journal of Traditional Medical Traumatology & Orthopeics, 2011, 0(2): 30-32
Authors:SHI Zhen ZHANG Yu LIU Yanxi ZHENG YongOrthopedic Surgery  Xianning Central Hospital of Hubei
Affiliation:SHI Zhen1 ZHANG Yu1 LIU Yanxi1 ZHENG Yong11Orthopedic Surgery,Xianning Central Hospital of Hubei
Abstract:Objective:To summarize the single incision with lag screw in complex acetabular fractures.Methods:From February 2004 to March 2010,31 cases with complex acetabular fractures were treated.By Letournel classification,there were 19 cases of double-column fractures,8 cases of T-shaped fracture,and 4 cases of the front with the rear half rampage.Twenty-one cases received operation through routine ilioinguinal approach,and 10 cases through routine Kocher-Langenbeck approach.Results:Evaluation of reduction quality...
Keywords:Single-incision  Lag screw  Acetabular fractures  
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