65例髋臼骨折的治疗

Treatment for 65 cases of acetabular fractures

目的 提高髋臼骨折的治疗质量。方法 对65 例髋臼骨折进行回顾性研究。结果 经1年6 个月～8 年随访,非手术治疗44 例,满意10 例,基本满意23 例,不满意11 例,满意率75 % ;手术治疗21 例,满意4 例,基本满意11 例,不满意6 例,满意率71-4 % 。结论 髋臼骨折应力求解剖复位,非手术牵引治疗适合髋臼形态基本正常、未波及负重顶的低位骨折或严重粉碎性骨折估计术中难以复位固定者;凡骨折移位明显、骨折涉及负重区、关节内有碎骨块者宜手术治疗。

Objective To improve the treatment quality of acetabular fractures. Methods Retrospective study was made on 65 cases of acetabular fractures. Results All patients were followed up for 1 5～8 years.Satisfactory rate reached 75% of 44 cases treated with non operation: 10 cases had satisfactory results,23 cases basically satisfactory and 11 cases nonsatisfactory.Satisfactory rate reached 71 4% of 21 cases treated with operation:4 cases had satisfactory results, 11 cases basically satisfactory and 6 cases nonsatisfactory. Conclusion The acetabular fractures need achieve anatomical reduction.The non operation treatment is suitable for those cases of basically normal position of acetabulum, low fractures untouching the weight bearing dome of acetabulum, or fractures of severe fragment estimated hard to achieve reduction in operation. The operation is necessary for those cases of obviously displaced acetabular fractures, fractures of the weight bearing dome of acetabulum and existence of intra articular bone fragment.