髂腹股沟联合K-L入路治疗复杂髋臼骨折的临床评价
Ilio-inguinal and Kocher-Langenbeck (K-L) approach for internal fixation and reduction of complex acetabular fractures
目的 髂腹股沟联合Kocher-Langenbeek(K-L)入路复位内固定治疗复杂髋臼骨折的临床评价。 方法 回顾性分析2006年1月-2012年8月采用髂腹股沟联合K-L入路切开复位内固定治疗65例复杂髋臼骨折患者临床资料，分析手术时间、术中出血量、术后复位程度、Merle d’Aubigne-Pestel评分结果。 结果 术后患者平均随访28.5个月（15~42个月），手术时间（186±21）min，术中出血量分别为(820±21)ml。术后骨折复位情况按Matta评定标准：优43例、良18例、可4例，优良率93.8%。关节功能按照改良的Merle d’Aubigne-Pestel评分系统进行评估，优41例、良18例、可6例，优良率90.8%。 结论 髂腹股沟联合K-L入路复位内固定治疗复杂髋臼骨折的临床效果良好。
Objective To evaluate the clinic effect of ilio-inguinal and Kocher-Langenbeek (K-L) approach for internal fixation and reduction in the treatment of complex acetabular fractures. Methods A retrospective study was done on 65 patients with complex acetabular fractures who received treatment ofinternal reduction and fixation from January 2006 to August 2012 through ilio-inguinal and K-L approach. surgical length, intra-operative blood loss, degree of postoperative reduction，results of Merle d’Aubigne-Pestel scores were recorded. Results All patients were followed up for 15~42 months. The surgical length was (186±21) minutes, the intra-operative blood loss was (820±21) ml．According to Mata-analysis standard，the rate of good and excellent postoperative fracture reduction was 93.8%．The modified Merle d’Aubigne-Pestel score system showed rate of excellence and good joint function was 90.8%．Conclusions The clinical efficacy of combined ilio-inguinal and K-L approach for internal fixation and reduction in the treatment of complex acetabular fractures is good．
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