手术治疗髋臼双柱型骨折33例疗效观察

目的探讨手术治疗髋臼双柱型骨折的临床疗效。方法回顾性分析2004年1月至2011年1月该院收治的髋臼双柱型骨折患者33例手术治疗的疗效。结果解剖复位20例(61%),满意复位11例(33%),不满意复位2例(6%)。髋关节功能恢复优22例(67%),良9例(27%),可2例(6%),优良率94%。并发症为异位骨化4例(12%),骨关节炎3例(9%),股骨头缺血性坏死2例(6%)。结论正确处理合并症、选择恰当手术入路、解剖复位关节面是髋臼双柱骨折手术治疗取得满意临床疗效的关键。

Efficacy observation on surgical treatment of 33 cases of dual column acetabular fractures

Objective To evaluate the efficacy of surgical treatment of dual column acetabular fractures.Methods A retrospective analysis was conducted on 33 cases of dual column acetabular fractures treated surgically in our hospital from January 2004 to January 2011.Different approaches were chosen according to the types of the fractures and the reconstruction plates and lag screws were used for internal fixation.Results There were 20 cases(61%) of anatomic reduction,11 cases(33%) of satisfied reduction and 2 cases(6%) of unsatisfied reduction.The hip joint function was excellent in 22 cases(67%),good in 9 cases(27%) and fair in 2 cases(6%),with the excellence rate of 94%.Complications included heterotopic ossification in 4 cases(12%),osteoarthritis in 3 cases(9%),necrosis of the femoral head in 2 cases(6%).Conclusion The correct treatment of comorbidities,the appropriate choices of operation approaches and anatomical reduction of the acetabular articular surface are the keys to obtain satisfactory clinical effects in the surgical treatment of dual column acetabular fractures.