Kocher-Langenback入路手术治疗髋臼骨折

Kocher-Langenback Approach for Treatment of Acetabular Fractures

目的:总结髋臼骨折的手术方法和治疗效果。方法:在26例髋臼骨折病人中,22例采用Kocher-Langenback入路治疗。结果:经12～36个月平均15个月随访,解剖复位20例,复位满意1例,不满意1例,临床效果优良率为95.45%,并发坐骨神经不全性牵拉损伤1例。结论:采用Kocher-Langenback入路手术治疗涉及髋臼后壁或后柱的骨折,可取得满意的骨折复位和临床疗效。

Objective To summarize the operative method and clinical effect on acetabular fractures.Methods From January 2004 to June 2009,Kocher-Langenbeck approach were adopted in 22 cases of acetabular fracture treated operatively,including 15 cases of posterior wall fracture,4 cases of posterior column plus posterior wall fracture,2 cases of transverse fracture,1 case of transverse with posterior wall fracture.Results Twenty cases were anatomically reduced,1 case was satisfactorily reduced,1 cases was only joint contour reduced which was unsatisfied.The excellent and good rate of clinical effect was 95.45% in those cases which had been continuously fellowed up.Complcation was observed in 1 case with incomplete traction injury of the sciatic nerve.Conclusion For fracture of the acetabulum,satisfactory reduction and clinical effect can be obtained with single approach.