摘要
目的：介绍髋臼骨折的手术治疗的方法和经验。方法：选择36例髋臼骨折的病人的临床资料进行回顾性分析，按Letournel--Judet的方法分型，根据骨折类型和移位情况，分别采用Kocher--Langenleck入路20例，髂腹股沟入路9例，前后联合入路4例，延长髂股入路3例，应用重建钢板和拉力螺钉内固定。结果：平均随访18．5个月。复位按Matta标准。解剖复住24例，满意复位9例，不满意复位3例。结论：本文对36例髋臼骨折病人施行手术治疗，取得满意疗效，及时合理的诊治正确的手术方式是确保其预后良好的关键。
Objective： The surgical treatment of acetabular fractures methods and experience. Methods： 36 cases of patients with acetabular fractures were retrospectively analyzed clinical data, the method according to Letournel--Judet classification, according to fracture type and translocation, respec- tively Kocher--Langenleck approach in 20 cases, ilioinguinal 9 patients, 4 patients before and after the combined approach, extended iliofemoral approach in 3 cases, application re--plate and lag screw fixation. Results： The mean follow--up 18.5 months. Reset the standard by Marts, anatomic reduction in 24 cases, satisfactory reduction in 9 cases, 3 cases of unsatisfactory reduction. Conclusion： 36 cases of acetahular fracture surgery patients in treatment, to achieve a satisfactory effect, the correct and timely diagnosis and treatment of a reasonable surgical approach is to ensure that the key to good prognosis.
关键词
髋臼骨折
手术治疗
分析
Acetabular fracture
surgical treatment
Analysis
