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Combined anterior acetabular fracture treatment of complex clinical analysis of 30 cases

Author: LinMaoGui
Tutor: LengZhongGuang
School: Liaoning University of Traditional Chinese Medicine
Course: Orthopedics
Keywords: fracture acetabulum surgical treatment effect
CLC: R687.3
Type: Master's thesis
Year: 2010
Downloads: 29
Quote: 0
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Abstract


Objective: To explore the complexity of the surgical treatment of acetabular fractures methods and techniques.Methods: The selected post-graduate orthopedic hospital in Shenyang City during the six wards in July 2007 ~ December 2009 with 30 cases of surgical treatment in patients with acetabular fractures, through the preoperative X-ray films, CT films and three-dimensional reconstruction to determine the type of fracture and the development of surgical programs, and in accordance with Letournel-judet classification, for the "T"-type fracture, double-column fractures combined surgery before and after the adoption of floating position into the road to reconstruction plate and semi-circular steel plate combined with a fixed.Results: 28 patients have been followed up for 4 months to 2 years, an average of 1.1 years, 2 patients were lost because of changes in means of communication to visit. Matta reset using the standards and criteria to evaluate the efficacy of Matta: This group of excellent in 16 cases (60%); good in 8 cases (26.7%); in 3 cases (10%), poor in 1 case (3.3%), good rate of (76%) . Complications are mainly sciatic nerve injury, femoral head necrosis, heterotopic ossification, and traumatic arthritis.Conclusion: According to the preoperative X ray, CT and three-dimensional reconstruction to determine the type of fracture of complex acetabular fractures were combined into the roads before and after surgery in the anatomical reduction and fixation is curative.

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Bone surgery
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