髋臼骨折的内固定治疗

Internal Fixation for Acetabular Fracture

目的探讨髋臼骨折内固定治疗方法。方法笔者于2001年3月-2007年12月采用手术内固定治疗髋臼骨折17例,手术采用K-L入路和髂腹股沟入路,进行骨折复位,以骨盆重建钢板和AO螺钉进行固定。结果所有患者随访1～5年,关节功能评定按美国骨科学会制定的标准:优8例,良6例,可3例。优良率82%。无切口及深部感染,无内固定物折断。结论正确选择手术时机,正确分析骨折类型,选择恰当的手术入路,手术复位及内固定植入和早期功能锻炼,可取得良好的疗效。

Objective To investigate the treatment of internal fixation for aeetabular fracture. Methods 17 patients with acetablar fracture were treated with internal fixation through Kocher-Lange（K-L） approach and the ilioinguinal approach. Pelvic reconstructive steel plate and AO screws were used for fixation. Results All patients were followed up in one or five years. According to the standard of USA orthopaedic institute,joint functions of 8 cases were excellence＇,6 cases were good,3 cases were acceptable. The excellence and good rate was 82%. No infection and internal fixation broken. Conclusion Correct analysis of the fracture types, right operation time, proper approach, operative reduction, internal fixation and early exercise were effective on acetabular fracture.