前后路联合手术治疗髋臼双柱骨折疗效分析

摘要

目的:探讨前后路联合手术治疗髋臼双拄骨折的效果并分析影响疗效的相关因素.方法:2007年8月至2009年7月收治髋臼双柱骨折患者19例,男13例,女6例；年龄27～52岁,平均39.6岁.高位双柱骨折11例,低位双柱骨折8例,双柱骨折累压骶髂关节1例.受伤至手术时间4～11 d,平均5.8d.患者均采用前后联合入路手术,重建钢板和螺钉内固定.结果:除1例死亡外本组全部获随访,随访时间12～18个月,平均13.6个月.关节功能根据Harris评分标准,术后功能优9例,良7例,可2例.结论:经前后路联合切开复位内固定治疗髋臼双柱骨折疗效满意.%Objective .To explore the clinical effects and related factors of combined anterior and posterior surgeries in treatment of double column acetabular fracture. Methods: Krom August 2007 to July 2009,19 patients with double column acetabular fracture were treated. There were 13 males and 6 females,with a mean age of 39.6 years (ranged,27 to 52 years). A-mong the patients, upper double column fracture was in 11 cases, lower double column fracture was in 8 cases and double column fracture involved sacroiliac joint in 1 case. The mean time from injury to operation was 5.8 days (ranged,4 to 10 days). All patients were received combined anterior and posterior surgeries,reconstructed plate and fixed by screw. Results;One patient was death,other patients were followed up from 12 to 18 months (with a mean time of 13.6 months). According to Harris standard, 9 cases got excellent results, 7 good cases and 2 fair. Conclusion: Combined anterior and posterior surgeries for double column acetabular fracture can get satisfactory effects.