摘要
目的探讨髋臼前壁骨折的诊断和治疗方法。方法自1989年6月～2004年12月共收治髋臼前壁骨折6例,其中1例采用非手术治疗,5例采用手术治疗,手术入路均采用SmithPetersen入路。结果随访1～4年,平均2年。结果手术治疗组关节功能表现优良者4例,可1例,优良率为80%。非手术治疗的1例关节功能表现优良。结论骨折块较大、移位比较严重且伴有髋关节前脱位、关节内有游离骨块的髋臼前壁骨折需要手术治疗,手术入路以SmithPetersen入路最佳。
Objective: To explore the diagnosis and treatment of acetabular anterior wall fractures(AAWF). Method:Six cases of AAWF were treated from June 1989 to Dec. 2004. One case was given non-operative therapy, while the other 5 cases were treated with operation through Smith-Petersen approach. All cases were followed up for an averaged 2 years(ranging from 1 year to 4 years).Result: In the operation group, the joint function of 4 cases reached excellent or good, while that of 1 case reached fair. So the excellent and good rate was 80%. In the non-operation group, the joint function reached excellent.Conclusion: Operation should be given to treat acetabular anterior wall fracture if there are manifestations of great fracture mass, serious displacement , femoral head dislocation, or entrapment of a large fracture fragment. Smith-Petersen approach is the best selection in the operation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第12期909-910,共2页
Orthopedic Journal of China
关键词
髋臼骨折
诊断
治疗
前壁
Acetabular fractures
Diagnosis
Treatment
Anterior wall
