摘要
目的观察切开撬拔复位植骨钢板螺钉内固定术对髋臼边缘压缩骨折的治疗效果。方法对16例髋臼骨折合并边缘压缩骨折的患者采用手术切开复位,对压缩骨折进行撬拨复位和植骨,钢板螺钉内固定术。结果16例平均随访2年,根据Matta的髋臼骨折临床结果评分标准,优9例,良5例,差2例。结论髋臼边缘压缩骨折常见于髋臼后壁骨折患者,易漏诊,要加强对此类型骨折的认识,提高术前确诊率,术中对压缩骨折部分进行撬拔复位和植骨,可获得良好的临床效果。
Objective To observe the effect of treatment of the impacted bones by elevation with bone graft and open reduction and internal fixation（ORIF） of marginal impaction in posterior acetabular fractures. Methods Sixteen patients were treated by ORIF and the impacted bones were elevated with bone grafts. All fractures were fixed with reconstruction plate. Results The mean follow up was 2 years. The Matta score system showed 9 patients were excellent,5 good,and 2 poor. Conclusions Marginal impaction fractures often occur in posterior acetabular wall and can be easily missed. Understanding this type fracture should be strengthened to improve diagnosis. Good effect can he obtained with impacted bone elevation and bone graft.
出处
《临床骨科杂志》
2007年第3期214-215,共2页
Journal of Clinical Orthopaedics
关键词
髋臼骨折
骨折固定术
内
acetabulum fractures
fracture fixation, internal
