摘要
目的 探讨提高髋臼骨折切开复位内固定的治疗效果和减少其并发症的方法。方法 对我科34例髋臼骨折行切开复位内固定术患者的近期随访资料进行回顾性分析。结果本组随访时间6。28个月（平均13．6个月），根据Matta评分方法，治疗后优19例（55．9％），良6例（17．6％），一般5例（14．7％），差4例（11．8％）；并发异位性骨化4例（11．8％），股骨头坏死2例（5．9％）。结论 手术治疗效果与骨折程度和伤后手术时间有关，骨块数≥4块和伤后≥10天行手术者愈后欠佳（P〈0．01）。骨折的类型和内固定物种类的应用与疗效关系不大（P〉0．05）。早期切开复位内固定，恰当的手术路径、稳固的固定手法和关节准确对位是手术成功的关键。
Objective To study the clinical effects of open-reduction and internal fixation of acetabulum fratures and the way to reduce the complications. Methods The clinical data of 34 cases were reviewed retrospectively. Results An average follow-up of 13.6 months （ range 6 to 28 months）. According to Matta Score, the function of hip was exellent in 19 cases （55.9% ） ,good in 6 cases （17.6% ） ,fair in 5 cases （14.7% ） and poor in 4 cases（ 11.8% ）. Heterotopic ossification were found in 4 cases（ 11.8% ） and avascular necrosis of the femoral head in 2 cases（5.9% ）. Conclusion The effect of treatment is associated with the degree of fracture and operative time, when fragments are more than 4 pieces and operative time is more than 10 days after fracture （P 〈 0.01 ） ,the prognosis is poor. There is no correlation with the classification of fractures and the type of interal fixation （ P 〉 0.05 ）. The efficient operative treatment is based on an early operative time, properly surgical approach, stable fixation and precise anatomical reduction.
出处
《创伤外科杂志》
2006年第3期223-225,共3页
Journal of Traumatic Surgery
关键词
髋臼骨折
外科治疗
内固定
acetabular fracture
surgical treatment
internal fixation
