摘要
目的探讨髋臼骨折的有效治疗方法。方法３４例髋臼骨折中１６例手术治疗，主要采用预弯弧形钢板和螺钉固定。１８例保守治疗，主要采用骨牵引。结果手术治疗组除２例满意复位外，其它均解剖复位；保守组３例不满意复位，其余为满意复位。随访１～３年，手术组优良率８７．５％，保守组７２．２％。结论对于移位髋臼骨折在条件允许的情况下应行手术治疗，术前应将Ｘ线摄片与ＣＴ诊断相结合，根据骨折类型选择手术入路，术中尽可能使骨折达解剖复位或接近解剖复位，避免广泛剥离。
Objective To explore effective treatment for displaced fractures of the acetabulum and improvement on hip joint function. Methods 34 cases of acetabulum fracture were divided into two groups randomly, 16 cases of surgical treatment were fixed with screws and pre curved acetabulum plates and 18 cases of conservative treatment with skeletal traction.Results The surgical group reached anatomical reduction except for 2 cases. In the conservative group, 3 cases showed unsatisfactory reduction and the others demonstrated satisfactory reduction. All cases have been followed up for 1～3 years. The excellent rate was 87.5% in the surgical group and 72 2% in the conservative group respectively.Conclusion Clinical analysis of the cases showed that surgery was a better option when the patients condition was good so that the fracture could almost achieve anatomical reduction. Before operation, the combined CT and X ray is valuable to select surgical approaches correctly and to avoid extensive subperiosteal dissection as much as possible.
出处
《临床骨科杂志》
1999年第1期59-60,共2页
Journal of Clinical Orthopaedics
关键词
髋臼骨折
牵引
骨折固定
内固定
acetabulum fracture
traction
fracture fixation,internal
