桥接组合式内固定系统治疗髋臼骨折疗效分析

摘要

Objective To discuss the methods and advantages of bridge-link combined fixation system in the treatment of acetabular fractures . Methods Totally 27 cases were summarized of their perioperative period management ,essential operative points and treatment effectiveness . Postoperative status of the reduction and the functional recovery of joint were observed through regular X ray plain films and follow -ups.Different approaches were adopted according to the classification of acetabular fractures .Kocher-Langenbeck approach was adopted in 13 cases,ilioinguinal approach in 8 cases,and anterior combined with posterior approach ( ilioinguinal approach com-bined with K-L approach) in 6 cases.Fracture sites were fully exposed,reduction was accurately conducted and in-ternal fixation was secured .Results All cases were followed up for 12-18 months with an average of 15 months. The reduction quality was assessed with Matta radiographic grade .Fourteen cases were excellent ,11 good,2 poor, and the excellent and good rate was 92.6%.Traumatic arthritis was found in one case .Conclusion Bridge-link combined fixation system applies to most surgical treatment of acetabular fractures .It can provide effective internal fixation and improve recovery rate .%目的：探讨桥接组合式内固定系统治疗髋臼骨折的手术方法及优势。方法总结27例髋臼骨折的围手术期处理及髋臼骨折切开复位内固定手术治疗要点和治疗效果。通过术后定期复查X线片观察术后骨折复位及愈合情况，定期随访了解关节功能恢复情况。术中根据不同的骨折类型，分别采用不同的入路。其中Kocher-Langenbeck 入路13例，髂腹股沟入路8例，前后联合入路（髂腹股沟加K-L入路）6例。充分暴露骨折，准确复位，牢固内固定。结果随访时间12～18个月，平均15个月。根据Matta影像学评分，优14例，良11例，差2例；优良率92.6％。发生创伤性关节炎1例。结论桥接组合式内固定系统适合于大部分髋臼骨折的手术治疗，可提供坚强内固定。