Curative effects of different anterior surgical approaches in the treatment of acetabular fracture

LI Xiang-wei; SUN Zhi-bo; CHEN Rong; XIAO Liang; ZHU Gui-juan

doi:10.11659/jjssx.08E022167

您当前的位置：

首页 >

文章列表页 >

Curative effects of different anterior surgical approaches in the treatment of acetabular fracture

Clinical Research | 更新时间：2023-11-24

- Curative effects of different anterior surgical approaches in the treatment of acetabular fracture
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 11, Pages: 1005-1009(2023)
- 作者机构：
  
  十堰市人民医院/湖北医药学院附属人民医院骨科中心，湖北十堰 442000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.08E022167
  CLC： R683.3
- Published：25 November 2023，
  
  Received：30 August 2022，
扫描看全文
李相伟,孙志波,陈荣等.不同前方手术入路治疗髋臼骨折的疗效观察[J].局解手术学杂志,2023,32(11):1005-1009.

LI Xiang-wei,SUN Zhi-bo,CHEN Rong,et al.Curative effects of different anterior surgical approaches in the treatment of acetabular fracture[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):1005-1009.
李相伟,孙志波,陈荣等.不同前方手术入路治疗髋臼骨折的疗效观察[J].局解手术学杂志,2023,32(11):1005-1009. DOI： 10.11659/jjssx.08E022167.

LI Xiang-wei,SUN Zhi-bo,CHEN Rong,et al.Curative effects of different anterior surgical approaches in the treatment of acetabular fracture[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):1005-1009. DOI： 10.11659/jjssx.08E022167.

摘要

目的

探讨改良微创髂腹股沟入路（MMIIA）、改良Stoppa入路（MSA）及腹直肌外侧入路（PRA）治疗髋臼骨折的临床疗效。

方法

回顾性分析我院收治的55例髋臼骨折患者的临床资料，根据手术入路分为MMIIA组(14例)、MSA组(25例)和PRA组(16例)。比较各组患者手术时间、术中出血量、骨折复位质量、髋关节功能及术后并发症发生情况。

结果

MSA组和PRA组患者手术时间、术中出血量及骨折复位质量优于MMIIA组(

0.05)；但各组患者术后髋关节功能恢复及术后并发症发生率比较差异无统计学意义(

0.05)。

结论

MMIIA、MSA及PRA治疗髋臼骨折均能够取得良好的治疗效果，在髋关节功能恢复及术后并发症发生方面无显著变化，但MMIIA在术中出血量、手术时间及骨折复位质量方面不如其他两种入路。

Abstract

Objective

To explore the clinical effects of modified minimally invasive ilioinguinal approach（MMIIA）， modified Stoppa approach（MSA）and para-rectus approach（PRA）in the treatment of acetabular fracture.

Methods

The clinical data of 55 patients with acetabular fracture admitted to our hospital were retrospectively analyzed. According to the surgical approaches， they were divided into the MMIIA group （14 cases）， the MSA group （25 cases） and the PRA group （16 cases）. The operation time， intraoperative blood loss， fracture reduction quality，recovery of hip joint function and occurence of postoperative complications were compared among the three groups.

Results

The operation time， intraoperative blood loss and fracture reduction quality of patients in the MSA group and the PRA group were better than those in the MMIIA group （

0.05）. However， there was no statistically significant difference in the recovery of hip joint function or the incidence of postoperative complications among the patients in three groups （

0.05）.

Conclusion

MMIIA

MSA and PRA can all have good therapeutic effects in the treatment of acetabular fractures

without significant changes in hip joint function recovery or postoperative complications

but MMIIA is inferior to the other two approaches in terms of intraoperative blood loss

operation time and fracture reduction quality.

关键词

髋臼骨折手术入路改良微创髂腹股沟入路改良Stoppa入路腹直肌外侧入路疗效

Keywords

acetabular fracturesurgical approachmodified minimally invasive ilioinguinal approachmodified Stoppa approachpara-rectus approachtherapeutic effect

references

Matta JM.Operative treatment of acetabular fractures through the ilioinguinal approach.A 10-year perspective［J］.J Orthop Trauma，2006，20（1 Suppl）：S20-S29.doi：10.1097/00003086-199408000-00003http://dx.doi.org/10.1097/00003086-199408000-00003.

D'Aubigne RM，Postel M.Functional results of hip arthroplasty with acrylic prosthesis［J］.J Bone Joint Surg Am，1954，36-A（3）：451-475.doi：10.2106/00004623-195436030-00001http://dx.doi.org/10.2106/00004623-195436030-00001.

胡学峰，刘敏，胡平，等.运用腹直肌外侧入路微创治疗髋臼骨折8例体会［J］.中国矫形外科杂志，2018，26（24）：2299-2301.doi：10.3977/j.issn.1005-8478.2018.24.19http://dx.doi.org/10.3977/j.issn.1005-8478.2018.24.19.

Jakob M，Droeser R，Zobrist R，et al.A less invasive anterior intrapelvic approach for the treatment of acetabular fractures and pelvic ring injuries［J］.J Trauma，2006，60（6）：1364-1370.doi：10.1097/01.ta. 0000208139.97474.f7http://dx.doi.org/10.1097/01.ta.0000208139.97474.f7.

张欣蔚，程鹏，万趸.髂腹股沟入路与改良Stoppa入路治疗骨盆合并髋臼骨折疗效及对患者围术期指标、Harris得分和并发症的影响［J］.实用医院临床杂志，2020，17（2）：202-206.doi：10.3969/j.issn.1672-6170.2020.02.060http://dx.doi.org/10.3969/j.issn.1672-6170.2020.02.060.

吴楚城，潘佳蓉，胡晓颖，等.改良Stoppa入路手术在骨盆髋臼骨折患者中的应用效果［J］.中国当代医药，2022，29（2）：69-71.doi：10.3969/j.issn.1674-4721.2022.02.018http://dx.doi.org/10.3969/j.issn.1674-4721.2022.02.018.

樊仕才，刘涵，黄复铭.髋臼骨折手术入路选择的原则与复位固定技巧［J］.中华骨科杂志，2021，41（1）：58-66.doi：10.3760/cma.j.cn121113-20200826-00525http://dx.doi.org/10.3760/cma.j.cn121113-20200826-00525.

杨晓东，夏广，樊仕才，等.单一腹直肌外侧切口治疗髋臼前后柱骨折［J］.中华骨科杂志，2015，35（4）：335-340.doi：10.3760/cma.j.issn.0253-2352.2015.04.006http://dx.doi.org/10.3760/cma.j.issn.0253-2352.2015.04.006.

孙永建，李伟成，白伟坚，等.数字化技术辅助下利用改良Stoppa联合髂窝入路治疗复杂髋臼骨折的临床研究［J］.中国骨与关节杂志，2017，6（11）：810-813.doi：10.3969/j.issn.2095-252X.2017. 11.003http://dx.doi.org/10.3969/j.issn.2095-252X.2017.11.003.

Zha GC，Sun JY，Dong SJ.Predictors of clinical outcomes after surgical treatment of displaced acetabular fractures in the elderly［J］.J Orthop Res，2013，31（4）：588-595.doi：10.1002/jor.22279http://dx.doi.org/10.1002/jor.22279.

张爱军，谷亚君.经腹直肌外侧入路治疗髋臼横行骨折的疗效观察［J］.创伤外科杂志，2019，21（6）：452-455.doi：10.3969/j.issn.1009-4237.2019.06.013http://dx.doi.org/10.3969/j.issn.1009-4237.2019.06.013.

邓军荣，陶圣祥.经腹直肌旁入路手术治疗复杂性髋臼骨折的临床效果［J］.临床医学研究与实践，2022，7（11）：58-60.doi：10.19347/j.cnki.2096-1413.202211016http://dx.doi.org/10.19347/j.cnki.2096-1413.202211016.

孙志波，杨述华.单一腹直肌外侧切口治疗骨盆前后环骨折［J］.创伤外科杂志，2018，20（2）：126-128.doi：10.3969/j.issn.1009-4237.2018.02.012http://dx.doi.org/10.3969/j.issn.1009-4237.2018.02.012.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Advances in the internal fixation surgical approach for sacroiliac joint dislocation caused by posterior pelvic ring injury

Application of 3D printing in surgical approach choice for treatment of cervical vertebra dumbbell tumor

Comparison of the clinical efficacy of right thoracic and left thoracic esophagectomy in the treatment of middle and lower esophageal squamous cell carcinoma in elderly patients

Clinical progress of lumbar fusion

Therapeutic effect of anterior muscle space approach for hip arthroplasty

Related Author

ZHAO Liang-yu

YANG Xiang-qun

GU Yuan-kai

SUN Bo

XIE Meng-qi

WANG Qi

WU Jun

GUO Long-sheng

Related Institution

School of Basic Medical Sciences， Naval Medical University

Department of Anatomy， School of Basic Medical Sciences， Naval Medical University

Department of Traumatic Orthopedics， Second Affiliated Hospital of Naval Medical University

Department of Orthopedic,General Hospital of Shenyang Military

Department of Thoracic Surgery，Suining Central Hospital

⁰