髋臼骨折诊疗新进展
New Progress in the Diagnosis and Treatment of Acetabular Fractures
DOI: 10.12677/ACM.2020.108245, PDF,   
作者: 李勇阵*, 宋大卫:青岛大学医学部,山东 青岛;青岛大学附属医院创伤外科,山东 青岛;刘 琪, 戴国华, 高焕绅:青岛大学医学部,山东 青岛;季爱玉#:青岛大学附属医院创伤外科,山东 青岛
关键词: 髋臼骨折分型综述Fracture of Acetabulum Classification Review
摘要: 髋臼骨折对于创伤骨科医师来说挑战性较大。考虑髋臼骨折的特殊性,前人已经总结出较为丰富的分型及手术治疗方案。但是随着科技的进步,对于髋臼骨折的诊断及治疗又出现很多新的方法,因此本文对于髋臼骨折的受伤机制、诊断、分型、手术入路及并发症进行综述。
Abstract: Acetabular fractures are more challenging for trauma orthopedists. Considering the particularity of acetabular fractures, predecessors have summarized a richer classification and surgical treatment options. However, with the advancement of science and technology, many new methods have emerged for the diagnosis and treatment of acetabular fractures. Therefore, this article reviews the injury mechanism, diagnosis, classification, surgical approach and complications of acetabular fractures.
文章引用:李勇阵, 刘琪, 戴国华, 宋大卫, 高焕绅, 季爱玉. 髋臼骨折诊疗新进展[J]. 临床医学进展, 2020, 10(8): 1633-1638. https://doi.org/10.12677/ACM.2020.108245

参考文献

[1] 洪顾麒, 王钢. 螺钉治疗髋臼骨折的研究进展[J]. 中华创伤杂志, 2014, 30(2): 190-192.
[2] Kanthawang, T., Vaseenon, T., Sripan, P., et al. (2020) Comparison of Three-Dimensional and Two-Dimensional Computed Tomographies in the Classification of Acetabular Fractures. Emergency Radiology, 27, 157-164. [Google Scholar] [CrossRef] [PubMed]
[3] 原林, 高梁斌. 髋关节的解剖和生物力学[J]. 中华创伤骨科杂志, 2001, 3(2): 146-147, 131.
[4] 方晗, 肖玉周. 髋臼骨折的治疗进展[J]. 医学理论与实践, 2020, 33(7): 1076-1078, 1081.
[5] 李宇能, 姚东晨, 吴新宝. 老年髋臼骨折的治疗现状与进展[J]. 中华创伤骨科杂志, 2017, 19(8): 680-684.
[6] Brouwers, L., Pull, T.G.A., de Jongh, M.A., et al. (2020) What Is the Value of 3D Virtual Reality in Understanding Acetabular Fractures? European Journal of Orthopaedic Surgery & Traumatology, 30, 109-116. [Google Scholar] [CrossRef] [PubMed]
[7] Letournel, E. (1980) Acetabulum Fractures: Classification and Management. Clinical Orthopaedics and Related Research, 151, 81-106. [Google Scholar] [CrossRef
[8] Ohashi, K., El-Khoury, G.Y., Abu-Zahra, K.W., et al. (2006) Interobserver Agreement for Letournel Acetabular Fracture Classification with Multidetector CT: Are Standard Judet Radiographs Necessary? Radiology, 241, 386-391. [Google Scholar] [CrossRef] [PubMed]
[9] O’toole, R.V., Cox, G., Shanmuganathan, K., et al. (2010) Evaluation of Computed Tomography for Determining the Diagnosis of Acetabular Fractures. Journal of Orthopaedic Trauma, 24, 284-290. [Google Scholar] [CrossRef
[10] Garrett, J., Halvorson, J., Carroll, E., et al. (2012) Value of 3-D CT in Classifying Acetabular Fractures during Orthopedic Residency Training. Orthopedics, 35, e615-e620. [Google Scholar] [CrossRef] [PubMed]
[11] Judet, R., Judet, J. and Letournel, E. (1964) Fractures of the Acetabulum: Classification and Surgical Approaches for Open Reduction. Preliminary Report. The Journal of Bone and Joint Surgery. American Volume, 46, 1615-1646. [Google Scholar] [CrossRef
[12] Judet, R., Judet, J., Lanzetta, A., et al. (1968) Fractures of the Acetabulum. Classification and Guiding Rules for Open Reduction. Archives of Orthopaedics, 81, 119-158.
[13] Prevezas, N., Antypas, G., Louverdis, D., et al. (2009) Proposed Guidelines for Increasing the Reliability and Validity of Letournel Classification System. Injury, 40, 1098-1103. [Google Scholar] [CrossRef] [PubMed]
[14] Lenarz, C.J. and Moed, B.R. (2007) Atypical Anterior Wall Fracture of the Acetabulum: Case Series of Anterior Acetabular Rim Fracture without Involvement of the Pelvic Brim. Journal of Orthopaedic Trauma, 21, 515-522. [Google Scholar] [CrossRef
[15] 谭国庆, 周东生, 王伯珉, 等. 真骨盆缘完整的髋臼高位前柱骨折的治疗[J]. 中华骨科杂志, 2011, 31(11): 1239-1244.
[16] Petsatodis, G., Antonarakos, P., Chalidis, B., et al. (2007) Surgically Treated Acetabular Fractures via a Single Posterior Approach with a Follow-Up of 2-10 Years. Injury, 38, 334-343. [Google Scholar] [CrossRef] [PubMed]
[17] 钟承桔, 王钢, 杨运平, 等. 完善髋臼骨折Letournel分型的探索研究[J]. 中华骨科杂志, 2019, 39(5): 271-277.
[18] Harris, J.J., Coupe, K.J., Lee, J.S., et al. (2004) Acetabular Fractures Revisited: Part 2, a New CT-Based Classification. American Journal of Roentgenology, 182, 1367-1375. [Google Scholar] [CrossRef] [PubMed]
[19] Harris, J.J., Lee, J.S., Coupe, K.J., et al. (2004) Acetabular Fractures Revisited: Part 1, Redefinition of the Letournel Anterior Column. American Journal of Roentgenology, 182, 1363-1366. [Google Scholar] [CrossRef] [PubMed]
[20] Herman, A., Tenenbaum, S., Ougortsin, V., et al. (2018) There Is No Column: A New Classification for Acetabular Fractures. The Journal of Bone and Joint Surgery. American Volume, 100, e8. [Google Scholar] [CrossRef
[21] Zhang, R., Yin, Y., Li, A., et al. (2019) Three-Column Classification for Acetabular Fractures: Introduction and Reproducibility Assessment. The Journal of Bone and Joint Surgery. American Volume, 101, 2015-2025. [Google Scholar] [CrossRef
[22] Buller, L.T., Lawrie, C.M. and Vilella, F.E. (2015) A Growing Problem: Acetabular Fractures in the Elderly and the Combined Hip Procedure. Orthopedic Clinics of North America, 46, 215-225. [Google Scholar] [CrossRef] [PubMed]
[23] Giannoudis, P.V., Grotz, M.R., Papakostidis, C., et al. (2005) Operative Treatment of Displaced Fractures of the Acetabulum. A Meta-Analysis. The Journal of Bone and Joint Surgery. British Volume, 87, 2-9. [Google Scholar] [CrossRef
[24] Letournel, E. (1993) The Treatment of Acetabular Fractures through the Ilioinguinal Approach. Clinical Orthopaedics and Related Research, 292, 62-76. [Google Scholar] [CrossRef
[25] Matta, J.M. (2006) Operative Treatment of Acetabular Fractures through the Ilioinguinal Approach: A 10-Year Perspective. Journal of Orthopaedic Trauma, 20, S20-S29.
[26] Cole, J.D. and Bolhofner, B.R. (1994) Acetabular Fracture Fixation via a Modified Stoppa Limited Intrapelvic Approach. Description of Operative Technique and Preliminary Treatment Results. Clinical Orthopaedics and Related Research, 305, 112-123. [Google Scholar] [CrossRef
[27] Shazar, N., Eshed, I., Ackshota, N., et al. (2014) Comparison of Acetabular Fracture Reduction Quality by the Ilioinguinal or the Anterior Intrapelvic (Modified Rives-Stoppa) Surgical Approaches. Journal of Orthopaedic Trauma, 28, 313-319. [Google Scholar] [CrossRef] [PubMed]
[28] 张斌飞, 韩爽, 樊伟, 等. 髋臼骨折前方手术入路选择的系统文献综述[J]. 中华骨科杂志, 2017, 37(13): 801-809.
[29] Keel, M.J., Ecker, T.M., Cullmann, J.L., et al. (2012) The Pararectus Approach for Anterior Intrapelvic Management of Acetabular Fractures: An Anatomical Study and Clinical Evaluation. The Journal of Bone and Joint Surgery. British Volume, 94, 405-411. [Google Scholar] [CrossRef
[30] Li, H., Yang, H., Wang, D., et al. (2014) Fractures of the Posterior Wall of the Acetabulum: Treatment Using Internal Fixation of Two Parallel Reconstruction Plates. Injury, 45, 709-714. [Google Scholar] [CrossRef] [PubMed]
[31] Helfet, D.L. and Schmeling, G.J. (1994) Somatosensory Evoked Potential Monitoring in the Surgical Treatment of Acute, Displaced Acetabular Fractures. Results of a Prospective Study. Clinical Orthopaedics and Related Research, 301, 213-220. [Google Scholar] [CrossRef
[32] Haidukewych, G.J., Scaduto, J., Herscovici, D.J., et al. (2002) Iatrogenic Nerve Injury in Acetabular Fracture Surgery: A Comparison of Monitored and Unmonitored Procedures. Journal of Orthopaedic Trauma, 16, 297-301. [Google Scholar] [CrossRef] [PubMed]
[33] Alexa, O., Malancea, R.I., Puha, B., et al. (2013) Results of Surgical Treatment of Acetabular Fractures Using Kocher-Langenbeck Approach. Chirurgia (Bucur), 108, 879-885.
[34] 谢易, 龚泰芳, 李彬彬, 等. 腹直肌外侧切口联合K-L入路治疗复杂髋臼骨折[J]. 创伤外科杂志, 2018, 20(11): 845-847.
[35] 姚运峰, 薛晨曦, 孙一松, 等. 两种前后联合入路治疗复杂髋臼骨折的疗效比较[J]. 中国修复重建外科杂志, 2018, 32(12): 1512-1517.
[36] Shin, K.H., Choi, J.H. and Han, S.B. (2020) Posterior Wall Fractures Associated with Both-Column Acetabular Fractures Can Be Skillfully Ignored. Orthopaedics & Traumatology: Surgery & Research. [Google Scholar] [CrossRef] [PubMed]
[37] Grossterlinden, L., Nuechtern, J., Begemann, P.G., et al. (2011) Computer-Assisted Surgery and Intraoperative Three-Dimensional Imaging for Screw Placement in Different Pelvic Regions. The Journal of Trauma, 71, 926-932. [Google Scholar] [CrossRef
[38] 吴啸波, 张奇, 郭明珂, 等. 髋臼后柱骨折模型建立及髋臼后柱骨折钢板内固定和拉力螺钉内固定稳定性比较[J]. 中国组织工程研究与临床康复, 2009, 13(52): 10236-10240.
[39] Frank, M., Dedek, T., Trlica, J., et al. (2010) Percutaneous Fixation of Anterior Column Acetabular Fractures—First Experience. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, 77, 99-104.
[40] Kahler, D.M. (2004) Image Guidance: Fluoroscopic Navigation. Clinical Orthopaedics and Related Research, 421, 70-76. [Google Scholar] [CrossRef
[41] 刘争民, 孙晓曙. 全髋关节置换术治疗髋臼骨折继发创伤性髋关节炎和股骨头坏死中远期疗效观察[J]. 贵州医药, 2020, 44(1): 73-74.
[42] Tannast, M., Najibi, S. and Matta, J.M. (2012) Two to Twenty-Year Survivorship of the Hip in 810 Patients with Operatively Treated Acetabular Fractures. The Journal of Bone and Joint Surgery. American Volume, 94, 1559-1567. [Google Scholar] [CrossRef
[43] Debaun, M.R., Ziino, C., Laprade, C., et al. (2020) An Anatomic Classification for Heterotopic Ossification about the Hip. Journal of Orthopaedics, 21, 228-231. [Google Scholar] [CrossRef] [PubMed]