MEDLINE/PubMed Journal Browser Search

Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

Title: [Single Kocher-Langenbeck approach combined with anterograde channel screw technique in treatment of acetabular transverse and posterior wall fractures].
Author: Xu X, Liu J, Fei L, Ye J.
Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2024 Jan 15; 38(1):35-39. PubMed ID: 38225838.
Abstract:
OBJECTIVE: To assess the effectiveness of the single Kocher-Langenbeck approach combined with anterograde channel screw technique for the treatment of acetabular transverse and posterior wall fractures. METHODS: Between March 2020 and October 2022, 17 cases of acetabular transverse and posterior wall fractures were treated with the single Kocher-Langenbeck approach combined with anterograde channel screw technique. There were 11 males and 6 females, with an average age of 53.6 years (range, 42-64 years). Causes of injury included traffic accident in 12 cases, and falling from height in 5 cases. The time from injury to operation ranged from 4 to 16 days with an average of 8.8 days. The operation time, intraoperative blood loss, and fluoroscopy frequency were recorded; X-ray films were reviewed regularly after operation to observe the fracture healing, and postoperative complications were recorded. At last follow-up, Matta score was used to evaluate the reduction of fracture, Harris score and modified Merle D'Aubigné-Postel scores system were used to evaluate the hip joint function. RESULTS: The operation time was 150-230 minutes (mean, 185.9 minutes), the intraoperative blood loss was 385-520 mL (mean, 446.2 mL), and the fluoroscopy frequency was 18-34 times (mean, 27.5 times). Postoperative fat liquefaction occurred in 1 case and the other incisions healed by first intention; 3 cases had limb numbness after operation, and the symptoms disappeared after active symptomatic treatment; no urogenital system and intestinal injury occurred. All patients were followed up 12-28 months (mean, 19.9 months). Bone union was achieved in all cases with an average healing time of 10.8 weeks (range, 8-14 weeks). There was no complication such as loosening and breakage of internal fixators. At last follow-up, according to Matta score, 12 cases achieved anatomic reduction, 3 satisfactory reduction, and 2 fair reduction, the satisfactory rate was 88.2%; according to Harris hip function score, 12 cases were excellent, 3 good, and 2 fair, the excellent and good rate was 88.2%; according to the modified Merle D'Aubign Aubigné-Postel scoring system, the results were excellent in 11 cases, good in 3 cases, and fair in 3 cases, with an excellent and good rate of 82.4%. CONCLUSION: The single Kocher-Langenbeck approach combined with anterograde channel screw technique is a minimally invasive method for the treatment of acetabular transverse and posterior wall fractures with less complications, simple operation, and satisfactory effectiveness. 目的: 探讨应用单一Kocher-Langenbeck入路结合顺行经皮通道螺钉技术治疗髋臼横形伴后壁骨折疗效。. 方法: 回顾分析2020年3月—2022年10月采用单一Kocher-Langenbeck入路联合前柱顺行经皮通道螺钉内固定治疗的17例髋臼横形伴后壁骨折患者临床资料。男11例，女6例；年龄42～64岁，平均53.6岁。致伤原因：交通事故伤12例，高处坠落伤5例。受伤至手术时间4～16 d，平均8.8 d。记录手术时间、术中出血量及术中透视次数；复查X线片观察骨折愈合情况，记录并发症；末次随访时，采用Matta 评分标准评价骨折复位、髋关节Harris评分及改良Merle D’Aubigné-Postel评分评估髋关节功能。. 结果: 手术时间150～230 min，平均185.9 min；术中出血量385～520 mL，平均446.2 mL；术中透视18～34次，平均27.5次。术后发生1例切口脂肪液化，其余患者切口均Ⅰ期愈合；3例出现肢端麻木，经对症处理后症状消失；无泌尿生殖系统及肠道等损伤发生。17例均获随访，随访时间12～28个月，平均19.9个月。骨折均获骨性愈合，愈合时间8～14周，平均10.8周。无内固定物松动、断裂等并发症发生。末次随访时，根据Matta评分标准骨折获解剖复位12例、满意复位3例、复位可2例，满意率88.2%；髋关节功能Harris评分获优12例、良3例、可2例，优良率88.2%；改良Merle D’Aubigné-Postel评分获优11例、良3例、可3例，优良率82.4%。. 结论: 采用单一Kocher-Langenbeck入路结合前柱顺行经皮通道螺钉技术治疗髋臼横形伴后壁骨折微创、并发症较少、操作简便，疗效满意。.

[Abstract] [Full Text] [Related] [New Search]