摘要
目的探讨前、后联合入路切开复位钢板螺钉内固定治疗骨盆、髋臼骨折的临床疗效。方法应用前、后联合入路切开复位钢板螺钉内固定治疗39例移位的骨盆、髋臼骨折患者。记录手术时间、术中出血量、并发症情况;术后7 d根据Matta复位标准评估骨折复位质量;末次随访时采用Majeed评分标准评估骨盆功能。结果手术时间100~180 min,术中出血量500~1200 ml。切口均一期愈合。无并发症发生。患者均获得随访,时间12~18个月。术后7 d骨折复位满意率为97.44%。末次随访时根据Majeed评分标准评估骨盆功能:优30例,良8例,可1例,优良率为97.44%。结论前、后联合入路治疗移位的骨盆、髋臼骨折是一种有效的术式。
Objective To investigate the efficacy of open reduction and internal fixation of plate and screw in the treatment of displaced pelvic and acetabular fractures with anterior and posterior combined approaches.Methods Anterior and posterior combined approaches and open reduction with plate and screw internal fixation were used to treat 39 cases of displaced pelvic and acetabular fractures,and the operation time,intraoperative blood loss and complications were recorded.At 7 d after the operation,the quality of fracture reduction was evaluated according to the Matta reduction criteria,and the pelvic function was evaluated with the Majeed score criterion at the last follow-up.Results The operation time was 100~180 min,and the intraoperative blood loss was 500~1200 ml.All incisions got primary healing.No complications occurred.All patients were followed up for 12~18 months.The satisfaction rate of fracture reduction was 97.44%at 7 d after operation.At the last follow-up,the pelvic function was evaluated according to the Majeed score:30 cases were excellent,8 cases were good,and 1 case fair.The excellent and good rate was 97.44%.Conclusions For the treatment of displaced pelvic and acetabular fractures,the combined anterior and posterior approaches are a kind of effective surgical option.
作者
王守刚
岳海源
WANG Shou-gang;YUE Hai-yuan(Dept of Orthopaedics,Baoji Hospital Affiliated of Xi′an Medical University,Baoji,Shaanxi 721006,China)
出处
《临床骨科杂志》
2020年第4期548-550,共3页
Journal of Clinical Orthopaedics
关键词
骨盆骨折
髋臼骨折
骨盆前路手术
骨盆后路手术
内固定术
pelvic fractures
acetabulum fractures
anterior pelvic surgery
posterior pelvic surgery
internal fixation
作者简介
王守刚,男,硕士,副主任医师,主要从事脊柱外科研究,E-mail:2028554484@qq.com。
