重建钢板内固定治疗移位髋臼骨折的临床疗效分析

Clinical effect of reconstruction plate internal fixation on displaced acetabular fractures

目的分析重建钢板内固定治疗移位髋臼骨折的临床疗效。方法对32例有移位髋臼骨折患者采用重建钢板内固定治疗。结果本组病例随访时间平均22个月(14个月～3年)。术后解剖复位21例(65.63%),满意复位8例(25%),不满意复位3例(9.37%)。按Matta标准评定,手术疗效:优17例(53.13%),良12例(37.5%),可3例(9.37%),优良率为90.63%;X线疗效:优25例(78.13%),良5例(15.62%),可2例(6.25%),优良率为93.75%。术后无发生感染及死亡病例。结论重建钢板内固定治疗有移位的髋臼骨折,具有复位良好,固定可靠,并发症少等优点,是治疗移位髋臼骨折较有效的方法。

Objective To evaluate the clinical efficacy of reconstruction plate internal fixation in treatment of displaced acetabular fractures. Methods 32 patients with displaced acetabular fractures were treated by using reconstruction plate internal fixation Results The average follow-up time of all cases was 22 months （14 months- 3years）. After operation, anatomic reduction was achieved in 21 cases（65.63%）,good reduction in 8 cases（25%）, incomplete reduction in 3 cases （9.37%）. According to Matta meliorated score, 17 cases were excellent（53.13%）, 12 cases were good （37.5%）, and 3 cases were fair （9.37%）. According to the radiographic standard asscssman, 25 cases were excelleat（78.13%）, 5 cases were good（15.62%）, and 2 cases were fair（6.25%）. Excellent and good rates for operative results and radiographic results were 90.63% and 93.75% respectively. No perioperative deaths occurred. Conclusion It is an effective method to treat the displaced acetabular fractures by reconstruction plate internal fixation. It has some advantages such as good reduction, stable fixation and less complication.