前后联合入路配合移动窗技术治疗复杂髋臼骨折的疗效观察

doi:10.3969/j.issn.1009-976X.2015.02.025

岭南现代临床外科 ›› 2015, Vol. 15 ›› Issue (02): 208-211.DOI: 10.3969/j.issn.1009-976X.2015.02.025

前后联合入路配合移动窗技术治疗复杂髋臼骨折的疗效观察

曾庆平¹,黄健斌²,张敏²,雷学明¹

1. 广东省恩平市第二人民医院
2. 广东省江门市中心医院（中山大学附属江门医院）

通讯作者: 曾庆平

Effect of combined anterior and posterior approach operation in treatment of complicated acetabular fractures

Zeng Qingping, Huang Jianbin, Zhang Min, Lei Xueming

Received:2015-01-19 Revised:2015-03-17 Online:2015-04-20 Published:2015-06-20

摘要/Abstract

摘要： 【摘要】〓目的〓探讨髂腹股沟入路联合K-L入路配合移动窗技术治疗复杂型髋臼骨折的方法和疗效。方法〓对本院18例复杂型髋臼骨折患者采用髂腹股沟入路联合K-L入路配合移动窗技术行重建钢板手术内固定治疗。应用Matta法评定骨折复位情况,D’Aubigine法评定髋关节功能,Brooker法评价异位骨化的发生,同时观察并发症的发生率。结果〓解剖复位12例,满意复位6例,无不满意复位;关节功能优良率达94.4%;并发异位骨化1例(1级);术后并发创伤性关节炎1例,股骨头坏死1例。结论〓采用前后联合入路配合“移动窗”技术治疗复杂髋臼骨折可尽可能全面暴露术野,提高复位固定的效果,促进患者髋关节的稳定性提升和髋关节功能的改善,同时减少并发症发生。

关键词: 髋臼骨折, 髂腹股沟入路, Kocker-langenbeck入路, 移动窗

Abstract: 【Abstract】〓Objective〓To investigate the clinical effect of combined anterior and posterior approach operation on treating complicated acetabular fractures. Methods〓The clinical data of 18 patients with complex acetabular fractures in our hospital were retrospectively analyzed. All cases were treated by combined anterior and posterior approach operation. According to Matta standard and D’Aubigine assessment,the clinical effects of fracture reduction and hip function were evaluated. Heterotopic ossification was assessed by Brooker standard, and all complication rate were observed. Results〓Anatomic reduction was in 12 cases, satisfactory reduction in 6 cases, no satisfactory reduction. D’Aubigine asscessment of excellent and good rate was 94.4%. One case complicated with heterotopic ossification..Complication included in one traumatic arthritis and one femoral head necrosis patients. Conclusion〓Combined anterior posterior approach operation in the treatment of complex acetabular fracture can explose operative field, enhance the anatomic reduction rate and clinical effect, improving joint function significantly, and decrease complication rate, which is worthy of further popularization.

Key words: Acetabular fracture, Ilioinguinal approach, kocker-langenbeck approach, Moving window

中图分类号:

R683.3

曾庆平黄健斌张敏雷学明. 前后联合入路配合移动窗技术治疗复杂髋臼骨折的疗效观察[J]. 岭南现代临床外科, 2015, 15(02): 208-211.

Zeng Qingping, Huang Jianbin, Zhang Min, Lei Xueming. Effect of combined anterior and posterior approach operation in treatment of complicated acetabular fractures[J]. Lingnan Modern Clinics in Surgery, 2015, 15(02): 208-211.

参考文献

参考文献
[1] Kelly MF, Leonard M, Green C, et al. Should money follow the patient: Financial for being the National Centre for the Treatment and Management of Pelvic and Acetabular Fractures in Ireland[J]. Injury, 2013, 44: 1816-1819.
[2] 周钢，陈鸿奋，王富民，等. 髋臼骨折术后并发症的荟萃分析 [J]. 中华创伤骨科杂志，2013,15:653-659.
[3] Sagi HC, Afsari A, Dziadosz D. The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures [J]. J Orthop Trauma, 2010, 24: 263-270.
[4] Uchida K, Kokubo Y, Yayama T, et al. Fracture of the acetabulum: a retrospective review of ninety-one patients treated at a single institution [J]. Eur J Orthop Surg Traumatol, 2013, 23: 155-163.
[5] 谢杰，黄彰，刘伟. 几种微创技术在治疗髌骨骨折中的应用 [J]. 中国实用医药 2009,4: (32)5-6.
[6] Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction preliminary report [J]. J Bone Joint Surg Am, 1964, 46：1615-1646.
[7] Matta JM. Operative treatment of acctabular fractures through the ilioinguinal approach: a 10-year perspective [J]. J Orthop Trauma, 2006, 20 (1 Suppl):20-29.
[8] D’Aubidne RM, Postel M. Functional results of hip arthroplasty with acylic prosthesis [J]. J Bone Joint Surg AM, 1954, 36(3): 451-475.
[9] Brooker AF, Bowerman JW, Robinson RA, et al. Ectopic ossification following total hip replacement. Incidence and a method of classification [J]. J Bone Joint Surg Am, 1973, 55(8):1629-1632.
[10] Andersen RC, O’Toole RV, Nascone JW, et al. Modified stoppa approach for acetabular fractures with anterior and posterior column displacement: quantification of radiographic reduction and analysis of interobserver variability [J]. J Orthop Trauma, 2010, 24(5): 271-278.
[11] Mayo KA. Surgical approaches to the acetabulum [J]. Tech Orthop, 1990, 4:24-35.
[12] Stoppa RE, Rivers JL, Warlaumont CR,et al. The use of Dacron in the repair of hernias of the groin [J]. Surg Clin North Am, 1984, 64(2): 269-285.
[13] 陈康，黄振飞，崔巍等. 高位髂腹股沟入路治疗累及四方区髋臼骨折[J].中华骨科杂志， 2014，7(32):723-729.

前后联合入路配合移动窗技术治疗复杂髋臼骨折的疗效观察

Effect of combined anterior and posterior approach operation in treatment of complicated acetabular fractures

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