【摘要】 目的 探讨前后联合入路治疗复杂髋臼骨折的手术方法和临床疗效。方法 回顾性分析采用前后联合入路治疗的40例复杂髋臼骨折患者的临床资料。结果 本组病例均Ⅰ期愈合,无术中死亡病例。所有患者均获随访,随访时间1～4年,解剖复位21例(52.50%),满意复位12例(30.00%),不满意复位7例(17.50%);髋关节功能AAOS评定:优良率为85.00%%。结论 前后联合入路治疗复杂髋臼骨折具有暴露充分,复位方便,固定可靠,功能恢复好,并发症少,明显异位骨化等优点。术前明确骨折的类型,合理设计手术方案,熟练掌握解剖入路,才能取得更优的临床疗效。

    【关键词】 髋臼骨折 内固定 入路 前后联合

    【中图分类号】 R687.3【文献标识码】 A【文章编号】 1674-0742(2012)04(a)-0021-02

    【Abstract】 Objective To explore the operation method and clinical effect of combined anterior and posterior approaches in the treatment of complex acetabular fractures.Methods aretrospective analysis the clinical data of 40 patients with complex acetabular fractures in the treatment of combined anterior and posterior approaches.Results All the cases were healed in the stage I, no intraoperative deaths.All patients were followed up in 1～4 years,anatomic reduction in 21 cases (52.50%),satisfactory reduction in 12 cases (30%),unsatisfactory reduction in 7 cases(17.50%);AAOS assessment of hip joint function:a good rate of 85.00%; Conclusion The combined anterior and posterior approaches in treatment of complex acetabular fractures provides good exposure, convenient reduction,reliable fixation,good function recovery,less complications,obvious advantages of heterotopic ossification. Identify the preoperative fracture type,design operation plan rationally,master the anatomic approach,then it can achieve better clinical efficacy. ......