Comparison of the Application Effect of Modified K-L Approach and Lateral Rectus Abdominis Approach in Patients with Pelvic and Acetabular Fractures
Objective To compare the application effects of the modified Kocher-Langenbeck(K-L)approach and the lateral rectus abdominis approach in patients with pelvic and acetabular fractures.Methods Clinical data of 80 patients with pelvic and acetabular fractures who underwent open reduction and internal fixation at Luoyang Orthopedic-Traumatological Hospital of Henan Province from January 2019 to October 2022 were retrospectively collected.According to different approaches,80 patients were divided into the modified K-L group(40 cases)and the lateral rectus abdominis group(40 cases).The surgical time,intraoperative bleeding volume,fracture healing time,fracture reduction quality at 3 days after surgery,hip joint function(Harris score)were compared before surgery,3 months after surgery,and 6 months after surgery between the two groups,and the incidence of complications within 6 months after surgery were compared.Results The surgical time of the lateral rectus abdominis group was shorter than that of the modified K-L group,and the intraoperative bleeding was less than that of the modified K-L group,with statistical significant differences(P＜0.05).There was no statistical difference in the healing time between the two groups of fractures(P＞0.05).The excellent and good rate of fracture reduction in the lateral rectus abdominis group was higher than that in the modified K-L group,with statistical differences(P＜0.05).There was no statistical difference in Harris scores between the two groups before surgery,3 months after surgery,and 6 months after surgery(P＞0.05).There was no statistical difference in the incidence of postoperative complications between the two groups(P＞0.05).Conclusion The modified K-L approach and the lateral rectus abdominis approach have their own advantages and disadvantages when applied to patients with pelvic and acetabular fractures.Both surgical methods can effectively improve hip joint function and have a low incidence of postoperative complications.However,the lateral rectus abdominis approach can shorten surgical time,reduce intraoperative bleeding,and improve the quality of fracture reduction.
pelvic and acetabular fracturesopen reduction and internal fixationmodified Kocher-Langenbeck approachlateral rectus abdominis approach
万方数据
维普
