前后联合入路治疗复杂髋臼骨折

目的探讨前后联合入路治疗复杂髋臼骨折的临床疗效。方法采用髂腹股沟入路、联合K-L入路，切开复位重建钢板固定治疗21例复杂髋臼骨折患者。结果患者均获随访，时间10～36个月。切口均一期愈合，无血管、神经医源性损伤。按Matta复位标准：解剖复位18例，满意复位2例，不满意1例。骨折均愈合，愈合时间3—4．5个月。关节功能按d’Aubigne-Postel评分系统评定：优16例，良3例，可1例，差1例。出现股骨头坏死1例，异位骨化2例。结论前后联合入路、切开复位、重建钢板固定可明显提高复位质量，固定方便可靠，是治疗复杂髋臼骨折的有效方法。

Treatment of complex acetabular fractures by anterior-posterior combined anterior and posterior approach

Objective To investigate the efficacy of complicated acetabular fractures treated with open reduction by combined ilio-inguinal and Kocher-Langenbeck approaches.Methods 21 cases with complicated acetabular fractures were treated surgically by combined ilio-inguinal and Kocher-langenbeck approaches with reconstructive plate fixation.Results According to Matta reduction system,anatomic reduction was obtained in 18 cases,satisfactory reduction in 2 cases and unsatisfactory reduction in 1 case.All the 21 cases ...