【摘要】 目的:探讨手术治疗复杂型髋臼骨折的临床疗效。方法:复杂型髋臼骨折53例按照Letournel-Judet分型,其中"T"型骨折9例,横形伴后壁骨折17例,后柱伴后壁骨折11例,前柱伴后半横形骨折3例,双柱骨折13例。手术入路:采用髂腹股沟入路18例,采用Kocher-Langenbeck(K-L)入路16例,扩展髂股入路4例,联合入路(髂腹股沟+Kocher-Lan-genbeck)15例。结果:按Matta关节评分标准,本组优20例,良26例,可5例,差2例,优良率78.7%。结论:手术治疗复杂型髋臼骨折能获得满意的临床疗效,正确分析骨折移位和类型,选择适当的手术入路是确保髋臼骨折治疗效果的重要保证,良好的复位是获得满意疗效的基础。更多还原

【Abstract】 Objective:To evaluate the effect of operative treatment for complex acetabular fractures.Methods:According to Letournel-Judet Classification,53 complex acetabular fractures were classified as follows: 9 T-shaped fractures,17 transverse associated posterior wall,11 posterior column associated posterior wall,3 anterior column associated posterior hemitransverse,and 13 both columns.Eighteen cases were treated through the ilioinguinal approach,16 through Kocher-Langenbeck(K-L) approach,4 extended ilioinguinal approach,and 15 through combined of K-L and ilioinguinal approaches.Results:According to Matta scale for joint functions,the result of the treatment was evaluated as excellent in 20 patients,good in 26patients,fair in 5 patients and poor in 2 patients.The excellent and good rate was 78.7%.Conclusion:Operative treatment is able to produce satisfactory clinical results for the complex acetabular fractures.Appropriate approach and satisfactory fracture reduction are the basis for desirable outcomes.更多还原