经皮逆行髋臼前柱螺钉的临床应用

目的:探讨经皮逆行髋臼前柱螺钉内固定技术的临床应用。方法:自2006年1月至2011年11月对伴有髋臼前柱骨折的27例患者进行了经皮逆行髋臼前柱螺钉固定治疗,其中男20例,女7例;年龄20～61岁,平均35岁。按髋臼骨折Tile分型:A型5例,B型18例,C型4例。对术中出血量、骨折复位及螺钉位置进行观测。结果:术后摄骨盆入口位及出口位X线片并行CT检查,所有骨折复位良好。骨折复位根据Matta标准:优10例,良15例,差2例。所有骨折愈合,术后未出现神经血管损伤及股骨头坏死等并发症。结论:经皮逆行髋臼前柱螺钉技术具有术中出血少、创伤小、固定可靠等优点,可以有效应用于临床。

Clinical application of the percutaneous retrograde acetabular anterior horn screw fixation

Objective:To investigate the clinical usage of percutanious retrograde acetabular anterior horn screw fixation. Methods:From June 2006 to November 2011,27 patients with anterior horn accetabular fractures were treated with percutaneousretrograde screw. There were 20 males and 7 females with an average age of 35 years(ranged,20 to 61). According to Tile classification,type A was in 5 cases,type B was in 18 cases and type C was in 4 cases. The intra-operative blood loss volume,fractured reduction and screw location were observed. Results:Postoperative X-ray and CT scan showed good reduction. According to the standard of Matta,10 cases got excellent results,15 good and 2 poor. All fractures healed and no complications such as neurovascular injuries and femoral head necrosis were found. Conclusion:Percutanious retrograde acetabular anterior horn screw technique have advantages of little trauma,less blood loss volume,reliable fixation,which can be effectively used in clinic.