摘要
[目的]探讨锁定加压钢板在髋臼骨折中的临床应用。[方法]应用锁定加压钢板治疗23例髋臼骨折,其中男16例,女7例,平均43.3岁(21～61岁)。致伤原因车祸19例、高处坠落3例,重物碾压1例。按Letournel分型,简单骨折17例,其中前柱骨折7例,后壁骨折3例,前壁骨折5例,横行骨折2例;复杂骨折6例,其中双柱骨折1例,T型骨折1例,后柱合并后壁骨折3例,横行合并后壁骨折1例。[结果]所有患者术后伤口均Ⅰ期愈合。23例患者平均获20.1个月随访(3～24个月)。手术时间平均123min(50～235min),失血100～1500ml,输血0～1200ml。按Matt临床疗效标准,总优良率为73.9%(17/23)。[结论]锁定加压钢板治疗髋臼骨折操作简单、创伤小,可有效治疗髋臼骨折。
[Objective]To explore the clinic results of the locking compression plate fixation for the acetabular fractures.[Method]Twenty-three patients were treated in the author＇s department, 16 of them were male and 7 were female patients.The ages ranged from 21 to 61 years, and mean age was 43.3 years.Ninteen patients had been injured in an automobile accident,3 were fell from height and 1 was crushed by a heavy object. The patients were classified according to Letournel classification.There were 7 anterior column fractures,3 posterior wall fractures,5 anterior wall fractures,2 transverse fractures,1 anterior column and posterior column fracture,1 T shape fracture, 3 posterior wall and posterior column fractures,1 transverse and posterior wall fracture.[Result]All the incisions healed during the primary procedure and all the patients were available at follow-up ranging from 3 to 24 months（average 20.1 months）.The average intraoperation time was 123 minutes（50～235 minutes）,and the intraoperative blood loss was 100 to 1500 ml.The patinents underwent blood transfusion from 0 ml to 1 200 ml.According to Matt＇s criteria, the rate of excellent and good was 73.9%（17/23）.[Conclusion]The locking compression plate fixation is one of the effective methods for treatment of acetabular fractures, with the advantages of being simple and minimally traumatic.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第6期411-413,共3页
Orthopedic Journal of China
关键词
锁定加压钢板
髋臼骨折
骨折内固定术
locking compression plate,acetabular fracture,internal fixation
