Im Gun-Il, Shin Yong-Woon, Song Young-Joon
Department of Orthopaedic Surgery, Hallym University Hospital, Anyang, Korea.
J Trauma. 2005 Feb;58(2):300-3. doi: 10.1097/01.ta.0000149329.86361.ce.
The use of a buttress plate in addition to lag screws has been recommended for fractures to the posterior wall of the acetabulum. However, there is a lack of possible criteria for the use of screws alone. This study aimed to evaluate the use of screws alone for fixation of posterior wall fractures to the acetabulum.
This study retrospectively examined 15 patients with a single fragmented or moderately comminuted posterior wall fracture of the acetabulum who had been treated with internal fixation using screws alone. The modified D'Aubigne and Postel's score system was used for the functional evaluation.
The clinical results were excellent for nine hips, very good for one hip, good for four hips, and poor for one hip after follow-up period of more than 2 years.
The use of screws alone can produce acceptable results for selected posterior wall fractures of the acetabulum.
对于髋臼后壁骨折，建议除拉力螺钉外使用支撑钢板。然而，目前缺乏单独使用螺钉的可行标准。本研究旨在评估单独使用螺钉固定髋臼后壁骨折的效果。
本研究回顾性分析了15例髋臼后壁单发或中度粉碎性骨折患者，这些患者仅接受了螺钉内固定治疗。采用改良的达布尼和波斯泰尔评分系统进行功能评估。
随访2年以上后，9髋临床结果优，1髋非常好，4髋良好，1髋差。
对于选定的髋臼后壁骨折，单独使用螺钉可产生可接受的结果。
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