摘要
目的 探讨髋臼骨折的有效治疗方法。方法 回顾分析资料完整30例髋臼骨折病例,非手术治疗7例,采用持续骨牵引。手术治疗23例,主要采用切开复位钢板、螺钉、钢针固定。结果 随访10个月～3年(平均26月),根据Matta髋臼骨折复位标准,非手术治疗组5例满意复位,2例复位不满意;手术治疗组解剖复位10例,较满意复位10例,不满意复位3例。患髋功能:非手术组优良率为71.4％;手术组优良率为87％。结论 髋臼骨折有手术指证应早期手术治疗,根据骨折类型选择手术入路与固定材料。
Objective To explore the effective method for treating fracture of acetabulum. Methods Thirty cases of acetabular fracture admitted from January 1996 to May 2001, were analyzed retrospectively. Among them 7 cases were treated with skeletal traction and 23 cases with open reduction and internal fixation. Results All cases were followed up for an average of 26 months. In non-surgical treated group, 5 cases showed satisfactory reduction and 2 cases showed unsatisfactory reduction. In the surgical treated group, 10 cases were anatomical reduction; 10 cases were satisfactory and 3 cases unsatisfactory . The excellent rate was 71.4% and 87% for the non-surgical group and surgical group respectively. Conclusion Operative treatment is suggested in case of acetabular fracture with operation indication. The type of operative approach and fixation material used depend on the type of fracture.
