摘要
目的分析拉力螺钉在髋臼骨折内固定治疗中的应用效果。方法1997年1月至2007年1月,行切开复位内固定治疗髋臼骨折112例,其中单独应用拉力螺钉内固定18例,占16%,联合应用拉力螺钉和钢板内固定32例,占29%。结果112例随诊12～96个月,平均32个月。骨折全部愈合,最终结果优60例,良36例,可12例,差4例,优良率85.7%。结论髋臼骨折内固定类型包括髓外固定如髋臼钢板固定,髓内固定如拉力螺钉固定,髓内、外相结合固定等。髋臼螺钉内固定具有创伤小、固定强度大、手术时间短、操作简单等优点,在某些髋臼骨折内固定手术中的应用具有明显的优势。内固定类型的选择应综合考虑骨折部位、类型、稳定程度及患者全身状况。
Objective To study the effect in application of lag screw fixation for acetabular fractures and evaluate the clinical outcome. Methods From 1997 to 2006, 112 cases of acetabular fracture were treated by open reduction and internal fixation. Of all cases 18 were treated by only lag screw internal fixation and 32 cases by plate and lag screw internal fixation. Results 112 patients were followed up for an average of 24 months. All the fractures healed. The outcome showed excellent in 60, good in 36and fair in 16 cases with the excellent and good results in 85.7 percent. Conclusions The classification of internal fixation for acetabular fractures included intramedullary fixation with lag screws, extramedullary fixation with acetabular plates, intramedullary and extramedullary fixation in union. The authors suggest that both the location, type, stability of the fracture and the patient＇s condition should be of consideration for the choice of internal fixation
出处
《生物骨科材料与临床研究》
CAS
2007年第6期38-39,共2页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
髋臼骨折
内固定
拉力螺钉
类型
Acetabular fracture
Internal fixation
lag screw
Classification
作者简介
罗志平（1966．07-）男，副主任医师，硕士，研究方向：创伤骨科、关节外科。
