| 改良Gibson入路治疗髋臼骨折 |
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| 期刊信息：《中国骨伤》2005年，第18卷，第2期，第78-80页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:针对KocherLangenbeck入路的缺点设计改良Gibson入路,并探讨改良Gibson入路的优点。
方法:1994年6月-1999年2月使用KocherLangenbeck入路治疗36例髋臼骨折。1999年3月-2003年12月使用改良Gibson入路治疗32例髋臼骨折。
结果:KocherLangenbeck入路组达到解剖复位29例,复位欠佳4例,不满意复位3例;改良Gibson入路组达到解剖复位28例,复位欠佳3例,不满意复位1例。经统计学检验,差异具有显著性(P<005),改良Gibson入路组的骨折解剖复位率明显高于KocherLangenbeck入路组。KocherLangenbeck入路组关节功能表现优良者30例,可3例,差3例;改良Gibson入路组关节功能表现优良者29例,可2例,差1例。经统计学检验,差异具有显著性(P<005),改良Gibson入路组关节功能的优良率明显高于KocherLangenbeck入路组。
结论:与KocherLangenbeck入路相比,改良Gibson入路具有显露充分、创伤小、手术时间短、复位质量高、并发症少等优点,可以替代KocherLangenbeck入路。 |
| 【关键词】髋臼骨折 骨折固定术,内 改良Gibson入路 |
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| Modified Gibson approach for the treatment of acetabular fracture |
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ABSTRACT
Objective: Based on the shortcoming of Kocher Langenbeck approach,modified Gibson approach for the treatment of acetabular fracture was designed and its advantages was explored.
Methods: From June 1994 to February 1999,36 patients with acetabular fracture were treated through Kocher Langenbeck approach.From March 1999 to December 2003,32 patients with acetabular fracture were treated through modified Gibson approach.
Results: Anatomical reduction 29 patients,imperfect reduction 4,unsatisfactory reduction 3 in the Kocher Langenbeck approach group;Anatomical reduction 28,imperfect reduction 3,unsatisfactory reduction 1 in the modified Gibson approach group.There was statistically significant difference between Kocher Langenbeck approach group and modified Gibson approach group( P <0 05).The rate of anatomical reduction in the modified Gibson approach group was more than that of Kocher Langenbeck approach group obviously.Evaluation of joint function:30 with excellent and good,3 fair,3 poor in the Kocher Langenbeck approach group.Twenty nine patients with excellent and good,2 fair,1 poor in the modified Gibson approach group.There was statistically significant difference between Kocher Langenbeck approach group and modified Gibson approach group( P< 0 05).Excellent and good rate of joint function in modified Gibson approach group was more obviously than that in Kocher Langenbeck approach group .
Conclusion: Compared with Kocher Langenbeck approach,the advantages of modified Gibson approach are as follows:sufficient exposure,small trauma,short operation time,excellent reduction and less complication,so it can be substitute for Kocher Langenbeck approach. |
| KEY WORDS Acetabular fracturesFracture fixation,internalModified Gibson approach |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 穆卫东,王先泉,张进禄,周东生.改良Gibson入路治疗髋臼骨折[J].中国骨伤,2005,18(2):78~80 |
| 英文格式: | MU Wei-dong ,WANG Xian quan,ZHANG Jin-lu,ZHOU Dong-sheng.Modified Gibson approach for the treatment of acetabular fracture[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(2):78~80 |
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