骨盆内入路治疗髋臼后柱骨折的研究进展
作者: |
1谢献进,
1王钢,
1童凯
1 南方医科大学南方医院创伤骨科,广州 510515 |
通讯: |
王钢
Email: wgfr@163.com |
DOI: | 10.3978/j.issn.2095-6959.2020.04.040 |
基金: | 国家自然科学基金(201331)。 |
摘要
髋臼后柱的手术入路,一直是创伤骨科研究热点之一。目前常规使用的“后侧入路”和“前后联合入路”,各有优势,又均存在许多不足。随着临床与基础研究的不断深入,越来越多的术者选择骨盆内入路,取得了良好的效果。按照Letournel-Judet分型系统,髋臼骨折分为前柱骨折、后柱骨折、后壁骨折、前壁骨折、横行骨折、前柱加后半横行骨折、横行加后壁骨折、后柱加后壁骨折、T形骨折、双柱骨折。
关键词:
髋臼后柱;骨盆内入路治疗;手术入路
Progress in the treatment of acetabular posterior column fracture by internal pelvic approach
CorrespondingAuthor: WANG Gang Email: wgfr@163.com
DOI: 10.3978/j.issn.2095-6959.2020.04.040
Foundation: This work was supported by the National Natural Science Foundation of China (201331).
Abstract
The approach of acetabular posterior column fracture has always been one of the hotspots in orthopaedic trauma research. At present, the conventional “posterior approach” and “anterior and posterior combined approach” have their own advantages and disadvantages. With the deepening of clinical and basic research, more and more surgeons choose the internal pelvis approach, which has achieved good results. According to letournel Judet classification system, acetabular fracture is divided into anterior column fracture, posterior column fracture, posterior wall fracture, anterior wall fracture, transverse fracture, anterior column plus posterior half transverse fracture, transverse plus posterior wall fracture, posterior column plus posterior wall fracture, T-shaped fracture and double column fracture.
Keywords:
posterior column of acetabulum; internal pelvic approach; operative approach