摘要
目的:探讨经皮逆行髋臼前柱螺钉内固定技术的临床应用。方法:自2006年1月至2011年11月对伴有髋臼前柱骨折的27例患者进行了经皮逆行髋臼前柱螺钉固定治疗,其中男20例,女7例;年龄20～61岁,平均35岁。按髋臼骨折Tile分型:A型5例,B型18例,C型4例。对术中出血量、骨折复位及螺钉位置进行观测。结果:术后摄骨盆入口位及出口位X线片并行CT检查,所有骨折复位良好。骨折复位根据Matta标准:优10例,良15例,差2例。所有骨折愈合,术后未出现神经血管损伤及股骨头坏死等并发症。结论:经皮逆行髋臼前柱螺钉技术具有术中出血少、创伤小、固定可靠等优点,可以有效应用于临床。
Objective：To investigate the clinical usage of percutanious retrograde acetabular anterior horn screw fixation. Methods：From June 2006 to November 2011,27 patients with anterior horn accetabular fractures were treated with percutaneousretrograde screw. There were 20 males and 7 females with an average age of 35 years（ranged,20 to 61）. According to Tile classification,type A was in 5 cases,type B was in 18 cases and type C was in 4 cases. The intra-operative blood loss volume,fractured reduction and screw location were observed. Results：Postoperative X-ray and CT scan showed good reduction. According to the standard of Matta,10 cases got excellent results,15 good and 2 poor. All fractures healed and no complications such as neurovascular injuries and femoral head necrosis were found. Conclusion：Percutanious retrograde acetabular anterior horn screw technique have advantages of little trauma,less blood loss volume,reliable fixation,which can be effectively used in clinic.
出处
《中国骨伤》
CAS
2012年第10期807-809,共3页
China Journal of Orthopaedics and Traumatology
关键词
髋臼
骨折
骨折固定术
内
Acetabulum
Fractures
Fracture fixation
internal
作者简介
通讯作者：祖罡E—mail：hztruegreen@163．com
