三维记忆内固定系统与重建钛板治疗髋臼骨折合并髋臼关节后脱位的临床对比研究
投稿时间:2017-05-11  修订日期:2017-05-19  点此下载全文
引用本文:周潘宇,汪洋,夏琰,袁野,姜里强,张洪跃,许硕贵,王家林.三维记忆内固定系统与重建钛板治疗髋臼骨折合并髋臼关节后脱位的临床对比研究[J].医学研究杂志,2018,47(1):23-26,34
DOI: 10.11969/j.issn.1673-548X.2018.01.007
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周潘宇 200433 上海, 中国人民解放军第二军医大学附属长海医院急诊科  
汪洋 200433 上海, 中国人民解放军第二军医大学附属长海医院急诊科  
夏琰 200433 上海, 中国人民解放军第二军医大学附属长海医院急诊科  
袁野 200433 上海, 中国人民解放军第二军医大学附属长海医院急诊科  
姜里强 200433 上海, 中国人民解放军第二军医大学附属长海医院急诊科  
张洪跃 200433 上海, 中国人民解放军第二军医大学附属长海医院急诊科  
许硕贵 200433 上海, 中国人民解放军第二军医大学附属长海医院急诊科  
王家林 200433 上海, 中国人民解放军第二军医大学附属长海医院特需诊疗科 1522170637@163.com 
基金项目:国家自然科学基金资助项目(面上项目)(30872640);上海市科学技术委员会科研计划项目(14ZR1408600)
中文摘要:目的 探讨三维记忆内固定系统(ATMFS)与重建钛板治疗髋臼骨折合并髋臼关节后脱位的临床疗效。方法 搜集2014年1月~2015年1月笔者医院收治的74例髋臼骨折合并髋臼关节后脱位患者为研究对象,根据所使用内固定物不同分为ATMFS组(34例)和重建钛板组(40例),对比两组临床疗效及预后情况。结果 ATMFS组手术时间为85.16±10.52min,明显少于重建钛板组手术时间102.72±14.26min,差异有统计学意义(P<0.05),ATMFS组术中出血量为836.74±136.15ml,明显少于重建钛板组术中出血量1003.47±216.38ml,差异有统计学意义(P<0.05);术后7天,采用X线标准对骨折复位进行评估,ATMFS组:优15例,良13例,一般4例,差2例,优良率为82.35%,重建钛板组:优15例,良14例,一般7例,差4例,优良率为72.50%,ATMFS组优良率高于重建钛板组,但差异无统计学意义(P>0.05);术后24个月末次随访,采用d'Aubigné髋关节评估系统进行临床疗效评定,ATMFS组优良率为91.18%,明显高于重建钛板组优良率72.50%,差异有统计学意义(P<0.05);随访6、12、24个月,ATMFS组Harris评分均明显高于重建钛板组,差异有统计学意义(P<0.05)。结论 ATMFS治疗髋臼骨折合并髋臼关节后脱位手术时间短,术中出血量较少,更有利于髋关节功能恢复。
中文关键词:三维记忆内固定系统  髋臼骨折  髋臼关节后脱位  重建钛板
 
Comparison of ATMFS and Reconstituted Titanium Plate in the Treatment of Acetabular fracture Combined with Acetabular Dislocation
Abstract:Objective To investigate the comparison of clinical efficacy of ATMFS and reconstituted titanium plate in the treatment of acetabular fracture combined with acetabular dislocation. Methods Totally 74 patients with Acetabular fractures combined with Acetabular dislocation were selected from January 2014 to January 2015. The patients were divided into ATMFS group(34 cases) and reconstructed titanium plate group(40 cases), according to the internal fixation. The two groups of clinical efficacy and prognosis were compared. Results The operation time of ATMFS group was 85.16±10.52min, which was significantly less than that of reconstructed titanium plate group of 102.72±14.26min, and the difference was statistically significant(P<0.05). The blood loss in the ATMFS group was 836.74±136.15ml, which was significantly less than that in the reconstructed titanium plate group 1003.47±216.38ml(P<0.05). The excellent and good rate of ATMFS group was 82.35% at 7 days after operation, which was higher than that of reconstituted titanium plate group 72.50%, but the difference was not statistically significant(P>0.05). The excellent and good rate of ATMFS group was 91.18% at 24 months after operation, which was significantly higher than that of reconstituted titanium plate group 72.50%(P<0.05). Followed up for 6 months, 12 months, 24 months, the Harris scores of ATMFS group were significantly higher than those of reconstructed titanium plate group(P<0.05). Conclusion ATMFS treatment of acetabular fracture combined with acetabular dislocation with short operation time, less intraoperative blood loss advantages, and more conducive to hip function recovery.
keywords:Acetabular tridimensional memory alloy fixation system  Acetabular fracture  Acetabular dislocation  Reconstituted titanium plate
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