重建钢板治疗髋臼骨折

Treatment of acetabular fracture with reconstruction plate

目的:评价单一或联合入路切开复位重建钢板内固定治疗移位髋臼骨折的效果。方法:回顾2000-04～2009-06行切开复位重建钢板内固定治疗的49例髋臼移位骨折患者的临床资料。结果:随访3～26个月,平均14.5个月,术后拍片,参照Matta标准进行评价,48例(97.95%)切开复位重建钢板内固定治疗的复位愈合及功能恢复良好,1例(2.05%)因复位欠佳,骨折愈合但功能恢复不良,后并发股骨头坏死。结论:切开复位重建钢板内固定手术治疗髋臼移位骨折的疗效优良。

Objective：To evaluate the effect of operation and internal fixation with reconstruction plate on displaced acetabular fracture through single approach or combination approaches. Methods： Forty - nine cases of displaced acetabular fracture were treated with open repair and internal fixation with reconstruction plate from April 2000 to June 2009. The clinical data were analyzed. Results： Forty - nine patients were followed up for 3 to 26 months （14.5 months in average）. According to Matta^s scale, 48 patients （97.95%） had good reduction and functional rehabilitation. There was only one patient with bad functional rehabilitation and complication of femur head necrosis because of incomplete reduction. Conclusion： Open repair and internal fixation with reconstruction plate is an effective way to treat the displaced acetabular fractures.