前后联合入路治疗复杂移位髋臼骨折

Treatment of complex displaced acetabular fracture through combined anterior and posterior approach

目的探讨前后联合入路治疗移位复杂髋臼骨折的效果.方法对32例有移位复杂髋臼骨折通过前后联合入路进行切开复位内固定.结果除3例切口延迟2周愈合外,余均Ⅰ期愈合,无感染病例.随访18～60个月(平均31个月),依据Matta影像学评分标准:解剖复位19例,满意复位8例,复位不满意5例.Matta临床评分:优21例,良4例,一般3例,差4例.其中3例发生异位骨化.结论前后联合入路适合于移位复杂髋臼骨折的切开复位内固定,为获得高质量的复位与可靠的固定提供了保证.

Objective To explore the outcome of the treatment of acetabular fracture via combined anterior and posterior approach. Methods 32 cases with complex displaced aeetabular fracture were undergone open reduction and internal fixation through combined anterior and posterior approach. Results The wounds healed primarily except for 3 cases. No postoperative infection occurred. A mean follow up of 31 months revealed anatomical reduction in 19 cases, satisfactory reduction in 8 cases, unsatisfactory reduction in 5 cases. According to Matta＇s clinical grade, 21 were excellent, 4 good, 3 fair, and 4 poor. Heterotopic ossification occurred in 3 cases. Conclusions The combined anterior and posterior approach is suitable for open reduction and internal fixation in treating complex displaced acetabular fracture.