髋臼骨折的手术治疗

Surgical treatment of acetabular fracture

目的:探讨髋臼骨折手术治疗方法。方法:回顾2001年1月～2008年12月采用手术内固定治疗髋臼骨折15例,手术进行骨折复位,以骨盆重建钢板和AO螺钉进行固定。结果:所有患者得到随访,平均1.6年,关节功能评定按美国骨科学会制定的标准:优7例,良3例,可5例,优良率为85%。无切口及深部感染,无内固定物折断。结论:正确选择手术时机,正确分析骨折类型,选择恰当的手术入路、手术复位及内固定植入和早期功能锻炼,可取得良好的疗效。

Objective： To investigate the treatment of internal fixation for acetabular fracture. Methods：IS patients with acetabular fracture were treated with internal fixation. Pelvic reconstructive steel plate and AO screws were used for fixation. Results： All patients were followed up in means 1.6 years.According to the standard of USA orthopaedic institute, joint functions of 7 cases were excellence, 3 cases were good, 5 eases were acceptable. The excellence and good rate was 85%. No infection and internal fixation broken. Conclusion： Correct analysis of the fracture types, fight operation time, proper approach, operative reduction, internal fixation and early exercise are effective on acetabular fracture.