前后联合入路手术治疗复杂髋臼骨折的临床疗效观察

Clinical observation of the combined anterior and posterior approach operation in the treatment of complicated acetabular fractures

目的探讨对于复杂髋臼骨折患者实施前后联合入路手术治疗的可行性及临床疗效。方法回顾性分析六盘水市人民医院2010年5月至2013年12月收治的38例复杂髋臼骨折患者的临床资料,所有患者均采用前后联合入路手术治疗,术后分别按照Matta标准和Merled Aubigne-Postel标准对骨折复位情况及髋臼骨折临床疗效进行评价。结果术后随访3～6个月,所有患者均达到骨性愈合,未出现切口感染等并发症。骨折解剖复位31例,满意复位5例,不满意复位2例,临床疗效优良率为92.1%。结论前后联合入路可显著提高复杂髋臼骨折手术治疗的解剖复位率,提高临床疗效,改善患者的关节功能,值得临床进一步推广使用。

Objective To investigate the feasibility and clinical effect of combined anterior and posterior approach operation on complicated acetabular fractures. Methods The clinical data of 38 patients with complex acetabular fractures in Liupanshui people＇s hospital from May 2010 to December 2013 were retrospectively analyzed. All cases were treated by combined anterior and posterior approach operation, according to Matta standard and Merled Aubigne-Postel standard, the clinical effects of fracture reduction and acetabular fracture were evaluated. Results All cases were followed up for 3 to 6 months, all fractures healed with no incision infection Or other complications. Anatomical reduction was achieved in 31 patients, satisfactory reduction in 5 cases, unsatisfactory reduction in 2 cases, the excellent and good rate of clinical effect was 92.1%. Conclusion Combined anterior posterior approach operation in the treatment of complex acetabular fracture can enhance the anatomic reduction rate and clinical effect, improving joint function significantly, so it is worthy of further popularization.