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联合手术入路治疗复杂型髋臼骨折
引用本文:王佰亮,王体沛,孙伟,张念非,史振才,林朋,李子荣.联合手术入路治疗复杂型髋臼骨折[J].临床骨科杂志,2005,8(6):501-503.
作者姓名:王佰亮  王体沛  孙伟  张念非  史振才  林朋  李子荣
作者单位:中国医学科学院中国协和医科大学,北京,100730;中日友好医院骨坏死与关节重建中心,北京,100029;华中科技大学同济医学院附属同济医院骨科,湖北,武汉,430030;中日友好医院骨坏死与关节重建中心,北京,100029
基金项目:首都医学发展科研基金(编号:2002-1007)
摘    要:目的总结复杂型髋臼骨折联合手术入路的治疗经验。方法对19例复杂型髋臼骨折行联合手术入路治疗。结果术后以M atta复位标准:优4例,良13例,中2例。经6个月~3年随访,患者均下地行走,按照M atta功能评分:优5例,良11例,中2例,差1例。结论联合手术入路治疗复杂型髋臼骨折可以取得满意疗效。医师的临床经验对于提高复位质量、改善疗效十分重要。

关 键 词:髋臼骨折  骨折固定术    切开复位
文章编号:1008-0287(2005)06-0501-03
收稿时间:2005-04-28
修稿时间:2005年4月28日

Operative treatment of complex acetabular fracture through combination approach
WANG Bai-liang,WANG Ti-pei,SUN Wei,ZHANG Nian-fei,SHI Zhen-cai,LIN Peng,LI Zi-rong.Operative treatment of complex acetabular fracture through combination approach[J].Journal of Clinical Orthopaedics,2005,8(6):501-503.
Authors:WANG Bai-liang  WANG Ti-pei  SUN Wei  ZHANG Nian-fei  SHI Zhen-cai  LIN Peng  LI Zi-rong
Abstract:Objective To summarize operative techniques and results of complex acetabular fracture through combination approach.Methods 19 cases of complex acetabular fractures were treated through combination of Kocher-Langenbeck approach and ilioinguinal approach.Results According to Matta reduction criteria,it was excellent in 4 cases,good in 13 and fair in 2.The follow-up period ranged from 6 months to 3 years.According to Matta function standard,the results were excellent in 5 cases,good in 11,fair in 2 and poor in 1.Conclusions Combination approach can provide satisfactory clinical effect.Clinical experience and surgical techniques are important factors for the improvement of the quality of the surgical reduction and clinical results.
Keywords:acetabular fractures  fracture fixation  internal  operation reduction
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