摘要
目的 探讨髋臼骨折的创伤机制、分类和治疗方法。方法 6 5例髋臼骨折患者 ,其中 44例采用骨牵引治疗 ,2 1例采用手术内固定治疗。结果 经平均 4 5年的随访 ,非手术治疗 44例满意率75 % ,手术治疗 2 1例满意率 71 4%。 16例骨折移位 >3mm ,经牵引后骨折移位 <3mm。 7例骨折错位明显 ,因合并伤严重而放弃手术治疗 ,其结果均为不满意。手术治疗 2 1例 ,术中发现 17例股骨头有明显的肉眼损伤。结论 髋臼骨折应力求解剖复位 ,恢复头臼对应关系 ,并早期功能锻炼 ,对错位明显的骨折采用手术治疗是必要的。
Objective To study the traumatic mechanism,classfication and treatment of acetabular fractures Methods Of the 65 cases,44 were treated with skeletal traction and 21 were treated with internal fixation Results The mean period of follow up was 4 5 years For the 44 cases treated with non operation,the excellent and good rate was 75% For the 21 cases treated with operation,the excellent and good rate was 71 4% The displacement of 16 cases were reduced from more than 3 mm before traction to less than 3 mm after traction 7 cases of obvious transposition fractures which had not been operated upon because of severe complications had poor results During the operation,gross injuries in the femoral head could be seen in 17 cases Conclusion Anatomical reduction should be achieved in the treatment of acetabular fractures so as to restore the relationship between acetabulum and femoral head Functional exercises must be instituted early Surgery is mandatory for the displaced fractures The locality and severity of impact of femoral head and acetabulum will affect the prognosis
出处
《中国骨伤》
CAS
2000年第4期201-203,共3页
China Journal of Orthopaedics and Traumatology
关键词
髋臼骨折
骨折固定术
牵引术
治疗
Fractures,acetabulum Fracture fixation,internal Traction
