PDF(Pubmed)
Abstract：
This study aimed to share our experience of a self-developed plate for acetabular fracture fixation through the presentation of clinical cases. Eight patients with complex acetabular fractures (Letournel classification) underwent surgery using a modified Stoppa approach and the novel plate design between 2021 and 2023 at the National Scientific Center for Traumatology and Orthopedics. Criteria such as the mechanism of injury, type of fracture, surgical approach, intraoperative and postoperative complications, quality of reduction, and functional and radiological results were evaluated. All patients included in the study presented complex types of acetabular fractures according to the Letournel classification. In all cases, surgical interventions were performed using a modified Stoppa approach. The assessment of reduction quality was conducted based on the radiological standards established by Matta. The reduction in quality was excellent in two patients, good in four, and satisfactory in two. One patient developed a post-traumatic false joint requiring additional surgery. The remaining patients achieved fracture healing with satisfactory Harris Hip Score (HHS) scores, indicating good overall function. The results of the self-developed plate for acetabular fracture fixation in our series were satisfactory.
摘要：
本研究旨在通过临床病例介绍，分享我们自行开发的髋臼骨折固定钢板的经验。在2021年至2023年之间，八名复杂髋臼骨折（Letournel分类）的患者在国家创伤和骨科科学中心接受了改良的Stoppa方法和新颖的钢板设计的手术。损伤机制等标准，骨折类型,手术方法,术中和术后并发症，还原质量，功能和放射学结果进行了评估。根据Letournel分类，研究中包括的所有患者均表现出复杂类型的髋臼骨折。在所有情况下,采用改良的Stoppa方法进行手术干预.还原质量的评估是根据Matta制定的放射标准进行的。两名患者的质量下降非常好，好在四个,令人满意的两个。一名患者出现创伤后假关节，需要额外手术。其余患者骨折愈合，Harris髋关节评分（HHS）评分满意，表明良好的整体功能。我们系列中自行开发的髋臼骨折固定钢板的结果令人满意。
