手术治疗髋关节脱位并髋臼骨折22例分析

Analysis 22 cases of operative treatment of hip dislocation with acetabular fracture

目的探讨髋关节脱位并髋臼骨折早期复位及手术治疗的效果。方法对22例髋关节脱位按脱位类型分别予手法复位和牵引复位；并按骨折类型选择适合的手术入路及内固定方法进行手术。随访6个月至3年，平均15．3个月，参照美国矫形外科研究院标准评定疗效。结果优15例，良4例，可2例，差1例，优良率为86％。结论各种类型髋关节脱位均需急诊复位；手术是治疗髋臼移位骨折合并关节脱位的首选方法。

Objective To discuss the early stage treatment of reduction and the curative effect in coxa dislocation with acetabular fracture. Methods According to the different type of coxa dislocation with acetabular fracture,22 patients were given the distinctive operation and drawn reduction. As to 22 cases combination with acetabular fracture and basis of difference type of the fracture were selected the method of suitable operative entrance or inner fixation. In this group,22 patients were followed up about 6 month to 3 years（average 15.3 months） after operation. According to the standard of America orthopedic surgery study were commented on curative effect. Results Excellent 15 cases, well 4 cases, pass 2 cases, bad 1 case. Total fine rate were 86 %. Conclusion Each kinds type of the hip dislocation cases should needed emergency reduction. The operation treatments were selected first method to settlement the bone shatter displacement in acetabular fracture or unsuitable joint and unsteady joint.