三维记忆固定器修复髋臼后壁骨折伴关节后脱位的疗效研究

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Abstract Objective To observe the influence of three dimensional memory fixator in repair of posterior wall fracture complicated with posterior dislocation of joint on curative effect and hip joint function recovery.Methods 91 cases of patients with posterior wall fracture complicated with posterior dislocation of joint treated in our hospital were selected as the study objects.According to different internal fixations，the patients were divided into three-dimensional memory group (45 cases) and reconstructive plate group (46 cases).The three-dimensional memory group underwent three dimensional memory internal fixators repair，and the reconstructive plate group underwent reconstruction plate internal fixation.Clinical indicators，hip function，clinical efficacy were observed in the two groups，and the incidence of complications was calculated.Results Operation time，intraoperative blood loss in three-dimensional memory group were significantly lower than those in the reconstructive plate group (P＜0.05).After 1 year treatment，joint deformity，mobility，pain degree and limb function score were significantly higher than those before treatment in the two groups (P＜0.05).Those in the three-dimensional memory group were significantly higher than those in the reconstructive plate group (P＜0.05).The excellent and good rate of the three-dimensional memory group was 91.30％，slightly higher than that of 82.22％ of the reconstructive plate group (P＞0.05).Complication rate of 3D memory group was 4.35％，slightly lower than that of 13.33％ in the reconstructive plate group (P＞0.05).Conclusion Three dimensional memory fixator in Repair of posterior wall fracture complicated with posterior dislocation of joint，it can effectively promote the recovery of hip joint function，with less complications and definite clinical effect.

Key words： three dimensional memory fixator reconstruction plate internal fixation posterior wall fracture of acetabulum posterior dislocation hip function

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	Articles by authors
	Lei Yukai 1
	Qu Zhijun 2
	Xu Shuogui 3

Cite this article:

Lei Yukai 1,Qu Zhijun 2,Xu Shuogui 3. Efficacy of Three Dimensional Memory Fixator in Repair of Posterior Wall Acetabular Fractures with Posterior Dislocation[J]. sygkzz, 2018, 24(3): 215-218.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2018/V24/I3/215

［1］马爱国，裴宝瑞，刘斌，等.髋臼横行后壁骨折不同内固定方式的生物力学研究［J］.成都医学院学报，2016，11(6)：738-741.
［2］胡杨，张熙明，王邦军.K-L入路重建钢板交叉固定治疗髋关节后脱位伴髋臼后壁粉碎骨折［J］.临床骨科杂志，2016，19(1)：49-50.
［3］Wamper KE，Sierevelt IN，Poolman RW，et al.The Harris hip score：Do ceiling effects limit its usefulness in orthopedics?［J］.Acta Orthop，2010，81(6)：703-707.
［4］罗杰多，邓思然，罗特花，等.骨盆重建钢板结合分叉钢板内固定治疗髋臼后壁骨折的疗效分析［J］.中国骨与关节损伤杂志，2014，29(6)：576-577.
［5］姚运峰，张积森，吕浩，等.重建钢板内固定治疗髋关节后脱位伴髋臼后壁骨折［J］.临床骨科杂志，2013，16(4)：395-397.
［6］Riehl JT，Koval KJ，Langford JR，et al.Examination under anesthesia for posterior wall acetabular fracture：a survey of the OTA membership［J］.Bull NYU Hosp Jt Dis，2016，74(2)：124.
［7］李宏伟，贺加明.重建钢板和螺钉内固定术治疗髋臼后壁骨折150例疗效分析［J］.宁夏医科大学学报，2011，33(12)：1184-1186.
［8］曹烈虎，鲍广全，张春才，等.髋臼镍钛记忆合金三维内固定系统治疗陈旧性髋臼后壁骨折合并骨缺损［J］.中国修复重建外科杂志，2011，25(12)：1422-1425.
［9］余涛，叶文胜，高晓强.髋关节后脱位伴髋臼后壁骨折的内固定治疗［J］.安徽医药，2010，14(9)：1055-1056.
［10］伍岳，方松清，汪向东，等.钛网结合重建钢板内固定治疗髋臼后壁粉碎性骨折［J］.中国骨与关节损伤杂志，2013，28(4)：339-340.
［11］黄定安，王卫根.重建钛板治疗髋关节后脱位伴髋臼后壁骨折［J］.中华全科医学，2010，8(5)：575-576.
［12］de Palma L，Santucci A，Verdenelli A，et al.Outcome of unstable isolated fractures of the posterior acetabular wall associated with hip dislocation［J］.Eur J Orthop Surg Traumatol，2014，24(3)：341-346.
［13］赵斌，徐海斌.髋臼记忆合金三维内固定系统治疗髋臼后壁骨折［J］.实用骨科杂志，2010，16(6)：455-457.
［14］梁云扬.三维记忆内固定与髋臼重建钛板系统修复髋臼后壁骨折伴关节后脱位的比较［J］.中国组织工程研究，2015，19(22)：3538-3542.
［15］曹烈虎，张春才，苏佳灿，等.应用髋臼镍钛记忆合金三维内固定系统治疗髋臼后壁骨折伴髋关节后脱位［J］.中国修复重建外科杂志，2009，23(9)：1067-1070.