锁定加压接骨板内固定治疗髋臼骨折

Locking Compression Plate Fixation for the Acetabular Fractures

目的:探讨锁定加压接骨板在髋臼骨折治疗中的应用价值。方法:应用锁定加压接骨板治疗髋臼骨折患者27例,其中男性24例,女性3例。在患者其他多发伤得到有效治疗后,行CT扫描、三维重建髋臼检查,根据骨折分型分别采用髋臼前后入路或联合入路复位固定髋臼骨折并采用锁定加压接骨板内固定。结果:手术时间120～240 min,平均170 min,失血量200～1 500 mL。25例切口Ⅰ期愈合,2例延迟愈合。所有患者获得随访,随访时间6～24个月,平均11个月。按Metta临床疗效标准,骨折复位总优良率为85.2%(23/27);复位优良组的临床疗效优良率为91.3%(21/23)。结论:锁定加压接骨板治疗髋臼骨折操作简便、固定可靠,临床疗效满意。

Objective： To explore the clinic efficacy of the reconstruction locking compression plate fixation in the treatment of the acetabular fractures. Methods： Twenty seven patients were treated, 24 of them were male and 3 were female. After the combined injury were obtained effective therapy,the acetabular fractures were all comfirmed by CT scan before operation. According to the Judet-Letournel classification, all the patients were treated by open reduction and interal fixation with reconstruc tion locking compression plate through anterior or posterior approach. Results： The average intraoperation time was 170 minutes （120-240 minutes）, and the intraoperative blood loss was from 200 to 1500 ml. The patients underwent blood transfusion from 2U to 8U. All the incisions healed during the primary procedure except for two patients and all the patients were available at follow-up ranging from 6 to 24 months（average 11 months）. According to Matt＇s criteria, the rate of excellent and good reduction was 85.2 % （23/27）. Among them, the rate of excellent and good clinic results was 91.3 % （21/23）. Conclusions： The reconstruction locking compression plate fixation is one of the effective methods for treatment of acetabular fractures, with the advantages of being simple, available fixation and good clininal effect.