改良Stoppa入路切开复位内固定治疗髋臼骨折

目的探讨采用改良Stoppa入路切开复位内固定治疗髋臼骨折的疗效。方法对41例髋臼骨折患者采用改良Stoppa入路行切开复位内固定治疗。结果手术时间95~210(168.1±79.8)min,出血量550~1 500(646.3±187.5)ml。骨折解剖复位率82.9%(34/41)。41例均获得随访,时间12~58(41.9±11.8)个月。改良Merle d'Aubigne-Postel评分14~19(17.1±1.3)分,其中优31例,良8例,可2例,优良率95.1%。结论采用改良Stoppa入路切开复位内固定治疗髋臼骨折,临床功能满意,具有手术时间短、出血量少、解剖复位率高、并发症发生率低等优势。

Treatment of acetabular fracture with open reduction and internal fixation via modified Stop-pa surgical approach

Objective To investigate clinical outcomes of the modified Stoppa surgical approach for open reduction and internal fixation ( ORIF) of acetabular fracture. Methods 41 patients with acetabular fractures were treated by ORIF via the modified Stoppa surgical approach. Results The operative time and blood loss was 95~210 (168. 1 ± 79. 8) min and 550~1 500 ( 646. 3 ± 187. 5 ) ml, respectively. All of 41 patients were followed up for 12 ~58 (41. 9 ± 11. 8) months. The rate of anatomic reduction and modified Merle d′Aubigne-Postel scores was 82. 9%(34/41) and 14~19 (17. 1 ± 1. 3) points, respectively. It was excellent in 31 cases, good in 8 and fair in 2,and the excellent and good rate was 95. 1%. Conclusions The use of modified Stoppa surgical approach for acetabular fracture reduction and fixation can obtain satisfactory clinical function and has the advantage of shorter operative time, less blood loss, and higher rate of anatomic reduction.