摘要
目的探讨采用漂浮体位Letournel和Kocher—Langenbeck联合入路行切开复位内固定治疗粉碎性髋臼骨折的效果。方法：997年9月至2013年9月，我们采用漂浮体位Letoumel和Kocher．Langenbeck联合入路治疗50例粉碎性复杂移位髋臼骨折，观察其效果。结果50例患者手术时间2．5～6．6h，平均3．6h；术中失血660～3000ml，平均1380ml；骨折均愈合，愈合时间为9～18周，平均11周。根据Matta评定标准，优良率88％（44／50）。按Matta改良的Merled’Aubigne和Postel的标准评价髋关节功能优良率为92％（46／50）。结论复杂移位髋臼骨折采用漂浮体位Letoumel和Kocher-Langenbeck联合入路治疗，有利于复位及内固定，可最大限度恢复髋关节功能，减少组织损伤，降低并发症发生率。
Objective To investigate the clinical effecof Letournel and Kocher-Langenbeck approachealong with on complicated acetabulafractureby floating body. MethodFifty patientwith complicated acetabulafracturewere treated surgically with combined Letournel and Kocher-Langenbeck approacheby floating body from Sep. 1997 to Sep. 2013 in Branch of the FirsPeople＇Hospital of Shanghai Affiliated to Shanghai Jiao Tong University. All casewere followed up fo9-48 months, and the average wa28 months. ResultOperation periodof all casewa（2. 5 - 6. 6） h and the average wa3.6 h. The range of intraoperative blood loswa（660 -3 000） ml with the average of 1 380 ml. All fracturehealed, the healing time wa（9 -18）weeks,and the averaging 11 weeks. According to Matta＇score,the excellenand good rate of recovery wa88% （44/50）. Based on the modified Merle d＇ Aubigne and Postel score, the excellenand good rate of function of hip wa92% （46/50）. Conclusion Fothe patientwith complicated acetabulafractures, the approach of Letournel and Kocher-Langenbeck approacheby floating body can geclinical advantagewith fracture restoration convenient, fixed tightly, fewecomplicationand satisfactory result.
出处
《中国综合临床》
2015年第2期166-169,共4页
Clinical Medicine of China
