髋臼骨折术后异位骨化的手术治疗
吴新宝;杨明辉;王满宜;孙林;朱仕文;毛玉江;李庭;申文江
【期刊名称】《中华外科杂志》 【年(卷),期】2008(046)007
【摘要】Objecfive To evaluate the clinical effeet of surgical resection of the severe heterotopic ossification(HO)after the open reduction intemal fixation(ORIF)of acetabular fractures.Methods Five cases of severe HO after the ORIF of acetabular fractures were treated by surgical resection from October 2005 to April 2007.All patients were male,the average age was 34 years(22 to 45 years).The average time of HO after ORIF of acetabular fractures was 14.2 months(3 to 30 months).The original surgical approachs were:Kocher-Langenbeck approach as 4,ilioinguinal combined
K-L
approach
as
1.According
to
the
Brooker
classification,there were 4 patients with Ⅳ degree and 1 with Ⅲ degree.The average total movement for all the 5 patients was 8°.All patients received one time radiation therapy before or after operation,the dosage was 7-8 Gy.The surgical approach was Kocher-Langenbeck for all patients.During operatxon the nerve stimulator was used to explore the sciatic nerve and carefully protected it,resected all HO bone and removed all implants.For one patient,because of confusion between femoral head and acetabulum,total hip replacement were performed.The joint exercise(passively and actively)began from the
髋臼骨折术后异位骨化的手术治疗
