手术治疗髋臼骨折的临床疗效

目的探讨手术治疗髋臼骨折的临床疗效,并对相关因素进行分析。方法分别采用K-L入路、髂腹股沟入路、前后联合入路行切开复位骨盆重建钢板、螺钉内固定治疗48例髋臼骨折患者。结果术后按Matta影像学评分,解剖复位28例,满意复位14例,不满意复位6例。患者均获随访,时间12~58个月。按改良的Merle d'Aubigné和Postel评分标准:优28例,良9例,可7例,差4例。简单骨折和复合骨折临床优良率分别为94.4%和66.7%,解剖复位和非解剖复位的临床优良率分别为96.4%和50%,差异均有统计学意义(P0.05)。结论手术治疗髋臼骨折可获得满意的疗效,骨折的复位质量、骨折类型与疗效密切相关。

Clinical curative effect observation on surgical treatment of acetabulum fracture

Objective To investigate the clinical curative effect of surgical treatment of acetabulum fracture, and to analysis the related factors. Methods A total of 48 patients with fracture of acetabulum were treated with Kocher-Langenbeck approach, iliac inguinal approach, joint into the road line before and after pelvic reconstruction plate （ ORIF） and screw internal fixation. Results According to the Matta imaging score, 28 cases got anatomical reat-tachment, 14 satisfactory reattachment, and 6 poor reattachment. All the patients received a follow-up from 12 to 58 months. According to the improved Merle d’Aubigne; and Postel rating standards, 28 cases were excellent, 9 good,7 fair, and 4 poor. Simple fractures clinical excellent-good rate was 94. 4% and composite fractures clinical excellent-good rate was 66. 7%, anatomy reset and non anatomy reset of clinical excellent-good rate were 96. 4% and 50% re-spectively, these difference comparison had statistical significance （P 〈0. 05 ） . Conclusions Surgical treatment of acetabulum fracture can obtain satisfactory curative effect, the quality of fracture reduction and fracture type are close-ly related with curative effect.