前后联合入路内固定治疗髋臼双柱骨折

Inner Fixation Through Anterior and Posterior Approaches For Acetabular Both-column Fractures

目的：探讨髋臼双柱骨折的临床特点和内固定手术治疗。方法：应用前后联合入路手术内固定治疗髋臼双柱骨折48例。固定方法有：重建钢板螺钉固定，拉力螺钉同定。结果：本组48例中41例解剖复位，5例复位欠佳，2例复位不良；随访6～48个月，平均18个月。结果：解剖复位组关节功能表现优良39例，可2例，复位欠佳组关节功能表现良4例，可1例，复位不良组关节功能表现差2例。结论：前后联合入路手术内固定是治疗髋臼双柱骨折的最佳选择。

Objective：To explore in clinical features of acetabular bothcolumn fractures and surgical methods of inner fixation. Methods： 48 cases of acetabular bothcolumn fractures were treated with inner fixation through anterior and posterior approaches. The methods of fixation included internal fixation with reconstructive plate and sacroiliac lag screw. Results： 41 of 48 cases reached anatomical reduction, 5 imperfect reduction and 2 unsatisfacrory reduction. Followed up 18 months（range, 6 months to 48 months）, the joint ruction were excellent in 39 eases in group with anatomical reduction and 4 eases in group with unsatisfactory reduction, which was fine in group with anatomical reduction and in 1 case in group with unsatisfactory reduction. 2 cases had poor joint function in group with unsatisfactory reduction. Conclusion：The inner fixation operation through anterior and posterior approaches is the best choice for acetabular both - column fractures.