经腹直肌外侧切口入路联合跟骨异形钢板内固定治疗累及四边体的髋臼骨折
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作者Author单位AddressE-Mail
朱新红 ZHU Xin-hong 湖州市第一人民医院骨科, 浙江 湖州 313000  
闵继康 MIN Ji-kang 湖州市第一人民医院骨科, 浙江 湖州 313000  
张强华 ZHANG Qiang-hua 湖州市第一人民医院骨科, 浙江 湖州 313000  
郭松华 GUO Song-hua 湖州市第一人民医院骨科, 浙江 湖州 313000  
李海东 LI Hai-dong 湖州市第一人民医院骨科, 浙江 湖州 313000  
朱宗丽 ZHU Zong-li 陆军第七十二集团军医院, 浙江 湖州 313000 The Seventy-second Army Hospital of the PLA, Huzhou 313000, Zhejiang, China 656675921@qq.com 
期刊信息:《中国骨伤》2022年,第35卷,第11期,第1031-1036页
DOI:10.12200/j.issn.1003-0034.2022.11.005
基金项目:
中文摘要:

目的: 探讨应用经腹直肌外侧切口入路联合翼形跟骨钢板治疗累及四边体的髋臼骨折和骨盆后柱骨折的疗效。

方法: 回顾性分析2017年1月至2021年4月收治的累及四边体的髋臼骨折和骨盆后柱骨折患者21例,其中男12例,女9例;年龄21~73(43.23±6.45)岁。所有患者采用经腹直肌外侧切口入路联合翼形钢板切开复位内固定治疗,其中12例骨盆合并前后柱骨折,7例髋臼骨折并累及四边体,2例髋臼骨折伴中心性脱位。

结果: 21例患者均获得随访,时间12~36(18.60±6.45)个月,骨折均愈合。术后根据Matta影像学复位评价:11例骨盆前后柱骨折为解剖复位,1例为满意复位,7例累及四边体的髋臼骨折为解剖复位,1例伴中心型脱位为解剖复位,1例为满意复位。改良Merle D'Aubigne-Postel 髋关节评分13~17分。

结论: 腹直肌外侧切口入路辅以联合翼形钢板治疗累及四边体的复杂髋臼、骨盆骨折可以获得良好的放射学及临床结果,对复杂骨盆骨折及髋臼四边体骨折的治疗具有优越性。
【关键词】骨盆  髋臼  骨折  骨折固定术,内
 
Treatment of acetabular fracture involving quadrilateral body by external rectus abdominis incision combined with calcaneal profiled plate internal fixation
ABSTRACT  

Objective: To investigate the therapeutic effect of lateral rectus abdominis incision combined with winged calcaneal plate on pelvic and acetabular fractures involving quadrilateral body.

Methods: From January 2017 to April 2021,21 cases of pelvic and acetabular fractures involving quadrilateral bodies were retrospectively analyzed,including 12 males and 9 females. The age ranged from 21 to 73 years with an average of (43.23±6.45) years. All patients were treated by lateral incision of rectus abdominis combined with open reduction and internal fixation with aerofoil plate,including 12 cases of pelvis with anterior and posterior column fractures,7 cases of acetabular fractures with quadrilateral involvement,and 2 cases of acetabular fractures with central dislocation.

Results: All 21 patients were followed up for 12 to 36 months with an average of (18.60±6.45) months. All fractures healed. According to Matta's image reduction evaluation after operation,11 cases of pelvic anterior and posterior column fractures were all anatomic reduction,1 case was satisfactory reduction,7 cases of acetabular fractures involving quadrilateral were anatomic reduction,1 case with central dislocation was anatomic reduction,and 1 case was satisfactory reduction. The modified Merle D'Aubigne Postel hip joint score was 13 to 17 points.

Conclusion: Lateral incision approach of rectus abdominis combined with wing-shaped steel plate can obtain good radiological and clinical results in the treatment of complex pelvic and acetabular fractures involving quadrilateral bodies,and has advantages in the treatment of complex pelvic fractures and acetabular quadrilateral fractures.
KEY WORDS  Pelvis  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:朱新红,闵继康,张强华,郭松华,李海东,朱宗丽.经腹直肌外侧切口入路联合跟骨异形钢板内固定治疗累及四边体的髋臼骨折[J].中国骨伤,2022,35(11):1031~1036
英文格式:ZHU Xin-hong,MIN Ji-kang,ZHANG Qiang-hua,GUO Song-hua,LI Hai-dong,ZHU Zong-li.Treatment of acetabular fracture involving quadrilateral body by external rectus abdominis incision combined with calcaneal profiled plate internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(11):1031~1036
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