软骨下阻挡技术联合钢板螺钉双平面固定治疗复杂髋臼后壁骨折
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作者Author单位AddressE-Mail
谢盼盼 XIE Pan-pan 丽水市中心医院创伤外科, 浙江 丽水 323000 Department of Traumatology Surgery, the Central Hospital of Lishui City, Lishui 323000, Zhejiang, China  
黄淑明 HUANG Shu-ming 丽水市中心医院创伤外科, 浙江 丽水 323000 Department of Traumatology Surgery, the Central Hospital of Lishui City, Lishui 323000, Zhejiang, China smhuang001@163.com 
兰树华 LAN Shu-hua 丽水市中心医院创伤外科, 浙江 丽水 323000 Department of Traumatology Surgery, the Central Hospital of Lishui City, Lishui 323000, Zhejiang, China  
吴泉州 WU Quan-zhou 丽水市中心医院创伤外科, 浙江 丽水 323000 Department of Traumatology Surgery, the Central Hospital of Lishui City, Lishui 323000, Zhejiang, China  
叶方 YE FANG 丽水市中心医院创伤外科, 浙江 丽水 323000 Department of Traumatology Surgery, the Central Hospital of Lishui City, Lishui 323000, Zhejiang, China  
叶积飞 YE Ji-fei 丽水市中心医院创伤外科, 浙江 丽水 323000 Department of Traumatology Surgery, the Central Hospital of Lishui City, Lishui 323000, Zhejiang, China  
期刊信息:《中国骨伤》2022年,第35卷,第11期,第1020-1026页
DOI:10.12200/j.issn.1003-0034.2022.11.003
基金项目:浙江省医药卫生科技计划项目(编号:2015KYB450);丽水市科技局公益计划项目(编号:2019GYX24,2021SJZC011)
中文摘要:

目的: 探讨软骨下阻挡技术联合钢板螺钉双平面固定治疗复杂髋臼后壁骨折的临床疗效。

方法: 2015年7月至2019年12月共收治髋臼后壁骨折47例,依据内固定技术方法不同分为对照组23例(单纯外侧钢板螺钉支撑外围阻挡固定)和研究组24例(软骨下阻挡技术联合外侧钢板螺钉支撑双平面固定)。对照组中男15例,女8例,年龄18~68(40.9±7.2)岁,术前准备4~13(7.9±1.5) d。研究组中男14例,女10例,年龄20~71(41.7±7.9)岁,术前准备4~12(7.5±1.9) d。两组均采用Kocher-Langenbeck入路且获得至少1年随访。观察比较两组患者的手术时间、术中出血量、住院时间、术后骨折复位质量、术后1年的髋关节改良Merle D'Aubigne-Postel评分及术后并发症发生率等。

结果: 两组患者术后均获得至少1年的随访。术后1年研究组患者髋关节功能改良Merle D'Aubigne-Postel评分(16.042±1.517)分,高于对照组(14.696±1.222)分(P<0.05)。两组患者手术时间、术中出血量比较差异均无统计学意义(P>0.05)。术后1年两组患者Matta骨折复位质量评价结果比较差异有统计学意义(P<0.05)。两组患者术后并发症比较差异无统计学意义(P>0.05)。

结论: 应用软骨下阻挡技术联合钢板螺钉双平面固定技术治疗复杂髋臼后壁骨折,术后并发症发生率更低,术后髋关节功能恢复更好,临床疗效满意。
【关键词】髋臼  骨折  骨折固定术,内
 
Comparison of clinical efficacy of subchondral blocking technique combined with plate-screw biplanar fixation and simple plate-screw support peripheral block fixation in the treatment of complex posterior wall acetabular fracture
ABSTRACT  

Objective: To investigate the clinical effect of subchondral blocking technique combined with plate and screw biplane fixation in the treatment of complex acetabular posterior wall fractures.

Methods: From July 2015 to December 2019,a total of 47 cases of acetabular posterior wall fractures were treated. According to the different internal fixation techniques,they were divided into the external blocking fixation group supported by lateral plate and screw(control group of 23 cases) and the subchondral blocking technique combined with lateral plate and screw support biplane fixation group(study group of 24 cases). In the control group,there were 15 males and 8 females,aged 18 to 68 years old with an average of (40.9±7.2) years;preoperative preparation was 4 to 13 days with an average of (7.9±1.5) days. In the study group,there were 14 males and 10 females,aged 20 to 71 years old with an average of (41.7±7.9) years;preoperative preparation was 4 to 12 days with an average of (7.5±1.9) days. Kocher-Langenbeck approach was used in both groups and all patients were followed up for at least 1 year. The operation time,intraoperative blood loss,hospitalization time,quality of fracture reduction after operation,modified Merle D'Aubigne Postel score of hip joint one year after operation and postoperative complication rate of two groups were statistically analyzed and compared.

Results: The patients in both groups were followed up for at least 1 year. One year after operation,the Merled'Aubigne Postel score(16.042±1.517) of hip function improvement in the study group was significantly higher than that in the control group (14.696±1.222)(P<0.05). There was no significant difference in operation time and intraoperative bleeding between the two groups(P>0.05). One year after operation,there was a significant difference between two groups in the evaluation results of Matta fracture reduction quality(P<0.05). There was no significant difference in postoperative complications between two groups(P>0.05).

Conclusion: The treatment of complex acetabular posterior wall fracture with subchondral blocking technique combined with plate and screw biplane fixation technique has lower postoperative complication rate,better functional recovery of hip joint and satisfactory clinical effect.
KEY WORDS  Acetabulum  Fractures  Fracture fixation,internal
 
引用本文,请按以下格式著录参考文献:
中文格式:谢盼盼,黄淑明,兰树华,吴泉州,叶方,叶积飞.软骨下阻挡技术联合钢板螺钉双平面固定治疗复杂髋臼后壁骨折[J].中国骨伤,2022,35(11):1020~1026
英文格式:XIE Pan-pan,HUANG Shu-ming,LAN Shu-hua,WU Quan-zhou,YE FANG,YE Ji-fei.Comparison of clinical efficacy of subchondral blocking technique combined with plate-screw biplanar fixation and simple plate-screw support peripheral block fixation in the treatment of complex posterior wall acetabular fracture[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(11):1020~1026
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