[1]缪杰佳,邱华耀,郑富淇,等.小型弹性板内固定治疗累及方形区的髋臼骨折42例[J].中国中医骨伤科杂志,2023,31(02):61-65.
　MIAO Jiejia QIU Huayao ZHENG Fuqi LI Yiqun.Miniature Spring Plate for Involving Quadrilateral of Complicated Acetabular Fractures 42 Cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(02):61-65.
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小型弹性板内固定治疗累及方形区的髋臼骨折42例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年02期
页码:
61-65
栏目:
临床报道
出版日期:
2023-02-15

文章信息/Info

Title:
Miniature Spring Plate for Involving Quadrilateral of Complicated Acetabular Fractures 42 Cases
文章编号:
1005-0205(2023)02-0061-05
作者:
缪杰佳1; 邱华耀1; 郑富淇1; 李逸群1△
1广东省佛山市第二人民医院骨科(广东 佛山,528000)
Author(s):
MIAO Jiejia1 QIU Huayao1 ZHENG Fuqi1 LI Yiqun1△
1Department of Orthopedics,Second People's Hospital of Foshan,Foshan 528000,Guangdong China.
关键词:
小型弹性板;  髋臼骨折;  方形区;  内固定
Keywords:
miniature spring plate;  acetabulum fracture;  quadrilateral;  internal fixation
分类号:
R683.3
文献标志码:
B
摘要:
目的:探讨经改良Stoppa入路小型弹性板固定治疗累及方形区髋臼骨折的临床疗效。方法:回顾性分析2019年1月至2020年12月收治的42例累及方形区的复杂髋臼骨折患者,男28例,女14例; 年龄为18～65岁,平均为41.05岁。经改良Stoppa入路,对移位明显的髋臼方形区骨折采用小型弹性板固定。观察手术时间、出血量、有无并发症发生,评价骨折复位效果及髋关节功能。结果:手术时间为55～190 min,平均为95 min; 出血量为350～1 200 mL,平均为650 mL。所有病例无膀胱损伤或神经血管损伤等医源性损伤。术后评估根据Matta影像学评分标准,骨折达解剖复位12例,满意复位27例,不满意复位3例,总体满意率为92.86%。所有病例均获随访,随访时间为12～36个月,平均为16个月。骨折均愈合良好,无不愈合或延迟愈合,愈合时间为13～18周,平均为15周。术后1年,根据Merled Aubigne & Postel评分标准,疗效为:优17例,良16例,一般7例,差2例,优良率为78.57%。结论:采用改良Stoppa入路小型弹性板内固定治疗累及方形区的髋臼复杂骨折,手术过程安全、高效,术后可获得满意疗效。
Abstract:
Objective:To investigate the efficacy of modified Stoppa approach with miniature spring plate for involving quadrilateral of acetabulum fracture.Methods:42 patients with involving quadrilateral of acetabulum fracture from January 2019 to December 2020 were retrospectively analyzed including 28 males and 14 females from 18 to 65 years old with 41.05 years old on average.Based on fracture types,miniature spring plate was used to fix fracture by modified Stoppa approach.The operation time,blood loss,and complications were recorded.The effectiveness of reduction and the hip function were evaluated according to Matta score system and Merled Aubigne and Postel score system.Results:The operation time was 55 to 190 min(mean,95 min).The intra-operative blood loss was 350 to 1 200 mL(mean,650 mL).There was neither vascular avulsion nor neurovascular injury in all cases.Matta X-ray assessment showed anatomical reduction in 12 cases,satisfactory reduction in 27 cases,and unsatisfactory reduction in 3 cases,and the satisfaction rate of reduction was 92.86%.All patients were followed up for 12 to 36 months with 16 months on average.Fractures healed well within 13 to 18 weeks with 15 weeks on average.According to the Merled Aubigne and Postel hip score standards,the results were excellent in 17 cases,good in 16 cases,general in 7 cases,and poor in 2 cases,and the excellent and good rate was 78.57% at 1 year follow-up.Conclusion:Involving quadrilateral of acetabulum fracture can be fixed with miniature spring plate by modified Stoppa approach or combined with other approaches to obtain good exposure,less invasion,satisfactory reduction,stable fixation,and low complications.

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备注/Memo

备注/Memo:
基金项目:佛山市科技创新项目(2017AB002831)
广东省第三批名中医师承项目(2100601)
△通信作者 E-mail:lyq2127@163.com
更新日期/Last Update: 2023-02-10