浅析骨盆骨折合并髋臼骨折复位固定手术的治疗效果

Analysis of Pelvic Fracture Complicated With Acetabular Fracture Reduction and Fixation Treatment

目的研究分析骨盆骨折合并髋臼骨折使用骨折复位固定手术治疗的疗效。方法对我院的骨盆骨折合并髋臼骨折患者120例来分析研究,为患者进行内固定骨折复位固定,术后提供早期功能锻炼,对患者的骨折愈合时间,MATTA、Tornetta标准进行对比。结果全部患者的平均骨折愈合时间是(2.8±0.5)个月,患者的骨折复位优良率是85.83%,髋臼骨折复位满意率为95.83%;患者术后关节功能恢复率,术前22.5%,术后80.0%,差异有统计学意义(P<0.05);术后异位骨化0级84.17%,无骨不愈合和股骨头坏死等并发症出现。结论内固定法进行复位固定骨盆骨折合并髋臼骨折的患者具有比较好的效果,患者的关节功能恢复情况良好,安全性比较高。

Objective To analysis the effect of fracture of the pelvis and acetabular fixation in treating fracture. Methods 120 patients with pelvic fracture combined with acetabular fracture in our hospital were treated with internal fixation fracture fixation, postoperative early functional exercise was provide to patients, fracture healing time, MATTA, Tornetta standard were compared. Results The average fracture healing time of all patients was （2.8±0.5） months, with excellent fracture reduction rate was 85.83%, acetabular fractures satisfactory rate was 95.83%; the rate of recovery of joint function after surgery, preoperative 22.5%, postoperative 80.0%, the difference was statistically significant （P〈0.05）; postoperative ectopic ossification in 0 grade was 84.17%, there was no bone nonunion and femoral head necrosis. Conclusion The internal fixation of fixation of pelvic fracture combined with acetabular fracture patients has a good effect, the restoration of joint function in patients in good condition, high security.