交通伤致髋关节脱位的治疗

The treatment of transportation wound sends the dislocation of hip joint

目的探讨交通伤致髋关节脱位的治疗特点及疗效。方法对35例髋关节脱位治疗进行总结,手法复位11例,手术治疗24例。复位后行骨牵引,牵引6周后行功能锻炼,8周后开始负重行走。结果复位8周后检查结果:优21例,占60%;良6例,占17%;中5例,占14%;可1例,占3%;差1例,占3%。股骨头缺血性坏死1例,占3%。诊断为创伤性髋关节炎者8例,占23%。结论交通伤髋关节脱位大多合并有其他脏器的损伤,在生命体征稳定后必需尽早复位。创伤性髋关节炎和关节腔内的骨、软骨碎片密切相关。关节内有碎骨时应手术治疗。治疗时应尽可能保持髋关节的圆滑。

Objective To investigate to transportation wound sends the dislocation of hip joint the treatment characteristic and the curative effect. Methods Carried on the summary to 35 cases dislocation of hip joint treatment, the technique repositions 11 casess, the surgery treats 24 cases. The replacement next bone hauling,tows 6 weeks next function exercise,8 weeks later starts to carry a heavy load walks. Results According to the Merle d＇ Aubigne hip joint grading system for 8 weeks showed 21 cases were superior（60% ） ,6 cases were good（ 17% ） ,5 cases were moderate（ 14% ）, 1 case was average（3% ）, 1 case were offgrade （ 3% ）, 1 case for ischemic necrosis of femoral head （ 3% ）, 8 cases for traumatic arthritis of knee joint （ 23% ）. Conclusions Transportation wound hip joint dislocation mostly merges has other internal organs＇ damage, after life symptom stable essential repositions as soon as possible. In the wound hip joint inflammation and the tieulare bone, the cartilage fragment is closely related. In the joint has when the broken bone should the surgery treat. When treatment should maintain as far as possible the hip joint smoothness.