髋臼方形区骨折的治疗及研究进展 |
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Received:August 20, 2014
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期刊信息:《中国骨伤》2015年28卷,第5期,第472-475页 |
DOI:10.3969/j.issn.1003-0034.2015.05.020 |
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髋臼是人体的重要承重关节,髋臼方形区是髋臼内侧壁的重要结构,具有特殊的形态结构和重要功能。方形区骨折是髋臼骨折中常遇到的骨折,由于髋臼方形区处于骨盆内侧,所以手术中的显露及复位十分困难。同时,髋臼方形区骨质较薄较难固定,外侧有髋关节,选择合适的内固定和对相关解剖的了解十分重要。方形区骨折后,股骨头容易向内侧移位,甚至突入盆腔造成嵌顿,其复位和治疗一直是骨科中的难点。对于方形区骨折不同的治疗方法,其疗效也不一。本文就方形区的解剖学特点、手术入路选择、内固定治疗方式、治疗要点和疗效等做一综述。 |
[关键词]:髋臼 骨折 方形区 骨折固定术,内 综述文献 |
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Progress on treatment and research of quadrilateral plate fractures of acetabular |
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Abstract:Acetabular is an important human joint for weight bearing. Quadrilateral plate is a crucial structure of medial acetabulum with special morphology and important function. Quadrilateral plate fractures are common fracture in acetabulum. Quadrilateral plate fracture is hard to expose and reduction because it is in the medial of acetabulum. At the same time,the bone in the quadrilateral plate is not easy to fixed for thinning bones and adjacent to the articular cavity. The operator should know well about the anatomy and choose the suitable internal fixation. After quadrilateral plate fractures,the femur head maybe displace medially even break into pelvis. That make reduction and treatment always be a challenge. With different kinds of fractures,the efficacy of treatment is not the same. This paper intend to review the relation of anatomic features,approaches,internal fixations,key point of treatment and efficacy. |
KEYWORDS:Acetabulum Fractures Quadrilateral plate Fracture fixation,internal Review literature |
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引用本文,请按以下格式著录参考文献: |
中文格式: | 彭烨,张立海,唐佩福.髋臼方形区骨折的治疗及研究进展[J].中国骨伤,2015,28(5):472~475 |
英文格式: | PENG Ye,ZHANG Li-hai,TANG Pei-fu.Progress on treatment and research of quadrilateral plate fractures of acetabular[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(5):472~475 |
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