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Operation treatment on complex acetabular fractures
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1671-0282.2005.02.006
- Key Word:
- 髋臼骨折;手术治疗;内固定;并发症
Abstract： 目的探讨复杂型髋臼骨折的手术治疗方法及其并发症.方法对59例复杂型髋臼骨折进行回顾分析,其中后壁后柱联合骨折17例.横行和后壁联合骨折11例,T形骨折16例,前柱骨折伴半横行后柱骨折8例,完全双柱骨折7例,采用的手术入路分别为Kocher-Langenbeck入路(K-L入路)、髂腹股沟入路、前后联合入路、扩大髂股入路、三叉形扩展型线入路.手术入路的选择以骨折类型为基础.结果经5～38个月随访,平均为16.5个月.根据Matta评分,髋关节功能优异13例,良好30例,一般13例,差3例.15例发生不同程度的异位骨化,发生股骨头坏死7例,创伤性骨关节炎12例.结论复杂型髋臼骨折术前正确分析骨折类型,选择合适的手术入路,早期手术是提高复杂型髋臼骨折治疗效果的关键.
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