| 后上后前序贯复位固定C1型髋臼骨折的手术治疗 |
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投稿时间：2012-11-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 兰树华 |
LAN Shu-hua |
丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, the Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
lsh2681225@163.com |
| 朱俊锟 |
ZHU Jun-kun |
丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, the Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 黄淑明 |
HUANG Shu-ming |
丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, the Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 叶积飞 |
YE Ji-fei |
丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, the Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 吴泉州 |
WU Quan-zhou |
丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, the Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 叶方 |
YE Fang |
丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, the Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 吕国强 |
LÜ Guo-qiang |
丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, the Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第6期，第516-520页 |
| DOI：10.3969/j.issn.1003-0034.2013.06.019 |
| 基金项目: |
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中文摘要:
目的: 探讨C1型AO/ASIF分型髋臼骨折的手术复位技巧,分析其临床疗效。
方法: 自2004年8月至2012年1月,采用前后联合入路进行后上后前序贯复位、内固定治疗C1型AO/ASIF分型髋臼骨折13例,其中男8 例,女5例;年龄18～64岁,平均42岁。术前经骨盆三维重建CT明确诊断分型后,于伤后5～20 d手术,平均9.5 d.观察手术时间、术中出血量、术后并发症情况并评价手术复位质量,末次随访时采用Matta复位标准对患者的髋关节功能进行评估。
结果: 手术时间为190～290 min,平均240 min;术中出血量1 300～3 000 ml,平均1 800 ml.术后1例出现浅表感染,经加强换药于3周后愈合。根据Matta复位标准:解剖复位8例,满意复位4例,不满意复位1例。术后11例患者获得随访,平均随访时间(24.0±8.0)个月,骨折均愈合。末次随访时根据改良Meded'Aubingne和Postel临床评分:优7例,良2例,可1例,差1例。
结论: 对C1型AO/ASIF分型的髋臼骨折,采用后上后前的顺序进行序贯复位技术,手术流程满意,对提高手术质量有一定的帮助。 |
| 【关键词】髋臼 骨折 外科手术 骨折固定术,内 |
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| Surgical treatment of acetabular type C1 acetabular fracture by posteroproximal-posteroanterior sequential reduction and internal fixation |
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ABSTRACT
Objective: To investigate the operative reduction techniques and clinical results of surgical treatment of type C1(AO/ASIF) acetabular fracture by posteroproximal-posteroanterior sequential reduction and internal fixation.
Methods: From August 2004 to January 2012,13 patients with type C1(AO/ASIF) acetabular fracture were treated by posteroproximal-posteroanterior sequential reduction and internal fixation. Of them,8 cases were male and 5 cases were female with an average age of 42 years years old (ranged,18 to 64). Pelvis 3-dimentional CT reconstruction were used to confirmed the classification of fracture,and the operation were performed during from 5 to 20 days with an average of 9.5 days. Operation time,blood loss,complications and reduction were recorded and evaluated. The function of hip joint were accessed at the final follow-up.
Results: The operation time ranged from 190 to 290 min with an average of 240 min. The mean blood loss was 1 800 ml (ranged,1 300 to 3 000 ml). One case had superficial infection and healed after 3 weeks. According to Matta reduction criteria,8 cases obtained anatomical reduction,4 cases got satisfied results and 1 cases got unsatisfied results. Eleven cases were followed up with an average of (24.0±8.0) months,and 2 cases were lost to follow-up. According to revised Mede d'Aubingne and Postel evaluation system,7 cases got excellent results,2 good,1 moderate and 1 poor.
Conclusion: Posteroproximal-posteroanterior sequential reduction and internal fixation for the treatment of type C1(AO/ASIF) acetabular fracture can achieve satisfied surgical proces and operation quality. |
| KEY WORDS Acetabulum Fractures Surgical procedures,operative Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 兰树华,朱俊锟,黄淑明,叶积飞,吴泉州,叶方,吕国强.后上后前序贯复位固定C1型髋臼骨折的手术治疗[J].中国骨伤,2013,26(6):516~520 |
| 英文格式: | LAN Shu-hua,ZHU Jun-kun,HUANG Shu-ming,YE Ji-fei,WU Quan-zhou,YE Fang,LÜ Guo-qiang.Surgical treatment of acetabular type C1 acetabular fracture by posteroproximal-posteroanterior sequential reduction and internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(6):516~520 |
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