髋臼后壁骨折内固定术后影像学评价及临床效果观察

摘要

Objective:To evaluate image after internal fixation of acetabular posterior wall fracture and its clinical effects .Methods:Male 17 cases, female, 6;17~73 year of age, 42 years on average;posterior dislocation of the femoral head with 13 cases, 3 cases of in-jury of the sciatic nerve .According to the Tile patterns , A1-1:7 cases, A1-2:12 cases, A1-3:4 cases.Results:23 cases with post-operative follow-up had been made available , follow-up 6-36 months, an average of 21 months.To observe fracture reduction and plate screw location by X series tablets and CT: anatomic reduction of 19 cases, satisfactory reduction 4.Immobilize the lag screw and plate position block well , hip screw-free access or interference .With improved d'Aubigne and Postel hip score evaluation of clinical re-sults:15 cases, benign and 6 cases, 2 cases, excellent rate of 91%.Conclusion:Accurate reduction and reliable internal fixation might be a prerequisite for satisfactory efficacy of acetabular posterior wall fracture .%目的：评价髋臼后壁骨折内固定术后影像学及临床效果。方法：男17例，女6例；年龄17～73岁，平均42岁；伴股骨头后脱位13例，坐骨神经损伤3例。按照Tile分型，A1-1型7例，A1-2型12例，A1-3型4例。结果：23例患者术后均获得随访，随访时间为6～36个月，平均21个月。用系列X片及CT判断骨折复位情况及接骨板螺钉位置：解剖复位19例，满意复位4例。固定骨折块的拉力螺钉及接骨板位置良好，无螺钉进入或干扰髋关节。用改良d’ Aubigne和Postel髋关节评分评定临床。结果：优15例，良6例，可2例，优良率91％。结论：准确的复位和可靠的内固定是骨折获得满意疗效的前提。