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经K-L入路治疗髋臼骨折 被引量:2

Acetabular Fractures Treated by Kocher-langenbeck Approach
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摘要 目的:探讨K-L入路治疗髋臼骨折的方法及疗效。方法:2005年6月至2008年8月手术治疗18例髋臼骨折。采用重建钢板和螺钉内固定。结果:10例(55%)达到解剖复位,5例(27%)复位满意,3例(18%)复位欠佳。18例中有完整随访结果者16例,平均随访30月,13例骨折全部愈合,未发生感染,异位骨化率12.5%,坐骨神经损伤6.25%。根据Matta的髋关节功能评分标准:优8例(50%),良7例(43%),差1例(7%)。优良率80%。结论:髋臼骨折中,后壁骨折,后柱骨折,后柱伴后壁骨折,大部分横型骨折,及某些T型骨折可以通过单一K-L入路完成骨折的复位及内固定,手术中能达到解剖复位或接近解剖复位,术后功能良好。单一手术入路具有手术创伤小,出血少,早期可以髋关节功能锻炼,术后并发症发生率低。 Objective: To explore the methods and effects the surgical treatment by Kocher-langenbeck approach.Method: From June 2005 to August 2008,18 cases of acetabular fracture were treated with internal fixation by plate and screws through Kocher-langenbeck approach.Result: After operation anatomic reduction was achieved good in 10 cases(55%),reduction in 5 cases(27%),imcomplete reduction in 3 cases(18%).Among 18 cases,16 cases had complete followed-up results.The average follow-up time of all cases was 30 months.There were 13 cases obtained solid bony fusion with no infections;The complications included heterotopic ossification was 12.5%(2 cases),and delayed nerve injury was 6.25%(1 case).According to Metta meliorated score on hip stand 8 cases(50%) were excellent,7 cases were good,and 1 case was fair.The excellent and good rate was 80%.Conclusion: Acetabular fractures can been treated by simple Kocher-langenbeck approach so as so posterior wall fracture;posterior column fracture;posterior wall-posterior column fracture;some transverse fracture;and some T-type fracture.The simple operation has the advantage of less trauma and minimized bleeding,restore hip function with low rate of complications.
出处 《河北医学》 CAS 2011年第2期151-153,共3页 Hebei Medicine
关键词 髋臼骨折 手术入路 K-L入路 Acetabular fracture Surgical approach Kocher-langenbeck approach
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参考文献5

  • 1Letournel E, Judet R. Fracture of the Acetabulum [ M ]. 2 nd ed. New York : Springer Veriag, 1993. 215. 被引量:1
  • 2Matta JM. Fracture of the acetabulum : accuracy of reduction and the injury[ J ]. Bone Joint Surg( AM ), 1996,78 : 1632- 1645. 被引量:1
  • 3Letournel E. The treatment of acetabular fractures through the ilioninguinal approach [ J ]. Clin Orthop, 1993, ( 292 ) : 62 - 70. 被引量:1
  • 4Matta JM. Operative treatment of acetabular fractures through the ilioninguinal approach. : a 10-year perspective[ J]. Clin Orthop, 1994, ( 305 ) : 10- 19. 被引量:1
  • 5Matta JM. Fracture of the acetabulum :accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury [ J]. Bone Joint Surg (AM), 1996,78 : 1632-1645. 被引量:1

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