髂腹股沟联合K-L入路治疗复杂髋臼骨折的临床评价

doi:10.13418/j.issn.1001-165x.2014.04.023

Abstract

Abstract:

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．

Key words: Acetabulum, Fracture fixation, internal, Approach

CLC Number:

R323.5

FENG Hua-Jie, TUN Chao-Feng, GUAN Mo-Ning, LI Zhen-Ke, KUANG Guang-Zhi. Ilio-inguinal and Kocher-Langenbeck (K-L) approach for internal fixation and reduction of complex acetabular fractures[J]. Chinese Journal of Clinical Anatomy, 2014, 32(4): 467-470.

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Ilio-inguinal and Kocher-Langenbeck (K-L) approach for internal fixation and reduction of complex acetabular fractures

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