岭南现代临床外科Issue(2):208-211,4.DOI:10.3969/j.issn.1009-976X.2015.02.025
前后联合入路配合移动窗技术治疗复杂髋臼骨折的疗效观察
Effect of combined anterior and posterior approach operation in treatment of complicated acetabular fractures
曾庆平 1黄健斌 2张敏 2雷学明1
作者信息
- 1. 529447 广东恩平 广东省恩平市第二人民医院骨科
- 2. 529000 广东江门 江门市中山大学附属江门医院四肢关节外科
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of combined anterior and posterior approach operation on treating complicated acetabular fractures. Methods The clinical data of 18 patients with complex acetabular fractures in our hospital were retrospectively analyzed. All cases were treated by combined anterior and posterior approach operation. According to Matta standard and D ’ Aubigine assessment,the clinical effects of fracture reduction and hip function were evaluated. Heterotopic ossification was assessed by Brooker standard , and all complication rate were observed. Results Anatomic reduction was in 12 cases, satisfactory reduction in 6 cases, no satisfactory reduction. D’Aubigine asscessment of excellent and good rate was 94.4%. One case complicated with heterotopic ossification..Complication included in one traumatic arthritis and one femoral head necrosis patients. Conclusion Combined anterior posterior approach operation in the treatment of complex acetabular fracture can explose operative field , enhance the anatomic reduction rate and clinical effect , improving joint function significantly , and decrease complication rate , which is worthy of further popularization.关键词
髋臼骨折/髂腹股沟入路/Kocker-langenbeck 入路/移动窗Key words
Acetabular fracture/Ilioinguinal approach/kocker-langenbeck approach/Moving window分类
医药卫生引用本文复制引用
曾庆平,黄健斌,张敏,雷学明..前后联合入路配合移动窗技术治疗复杂髋臼骨折的疗效观察[J].岭南现代临床外科,2015,(2):208-211,4.