Kocher-Langenbeck手术入路配合重建钢板内固定治疗髋臼后壁骨折的临床疗效

Clinical Effect of Kocher-Langenbeck Surgical Approach Combined with Reconstruction Plate Internal Fixation for Treatment of Acetabular Posterior Wall Fracture

目的观察Kocher-Langenbeck(K-L)手术入路配合重建钢板内固定治疗髋臼后壁骨折的临床疗效。方法选取2016年9月至2017年9月本院收治的髋臼后壁骨折患者21例,均实施K-L手术入路,AO重建钢板,克氏针、螺纹钉做内固定处理。分析患者年龄、内固定手术时间、骨折损伤程度对术后恢复质量影响。结果按照患者年龄、内固定手术时间、骨折损伤程度进行分组比较,年龄> 55岁、内固定手术时间超过7 d,骨折损伤程度较复杂时,髋臼后壁骨折恢复效果相对较低(P <0.05)。结论髋臼后壁骨折采取K-L手术入路配合重建钢板内固定治疗效果良好,且结合患者伤情合理调整手术复位内固定时机,可提高手术效果。

Objective To observe the clinical efficacy of kocher-langenbeck(K-L)surgical approach combined with reconstruction plate internal fixation in the treatment of acetabular posterior wall fractures.Methods A total of 21 patients with acetabular posterior wall fractures admitted to our hospital from September 2016 to September 2017 were selected,and all underwent K-L surgical approach,AO reconstruction plate,kirschner wire and screw nail were applied with internal fixation.The impact of age,time of internal fixation and degree of fracture injury on postoperative recovery quality were analyze.Results According to the age of the patients,the duration of internal fixation surgery and the degree of fracture injury,the recovery effect of acetabular posterior wall fracture was relatively low when the age of the patients was more than 55 years old,the duration of internal fixation surgery was more than 7 days,and the degree of fracture injury was more complicated(P<0.05).Conclusion The treatment of acetabular posterior wall fracture with K-L surgical approach combined with reconstruction plate internal fixation is effective,and the timing of surgical reduction and internal fixation can be reasonably adjusted based on the injury of the patient to improve the quality of surgery.