高能量损伤髋臼骨折手术治疗72例分析

The analysis on high-energy trauma surgical in the treatment of 72 cases with acetabular fracture

目的:回顾性分析高能量髋臼骨折的手术效果。方法:根据72例高能量髋臼骨折分型,采用合适的手术入路、复位骨折并内固定。结果:全部顺利完成手术,64例获得随访,依Matta等标准:解剖复位46例,满意复位12例,复位不良6例,满意复位率为90.63%。参照Ceunnar A髋关节功能评分标准,优41例,良16例,可4例,差3例;优良率为89.06%。6例出现异位骨化,3例发生股骨头缺血坏死。结论:手术治疗高能量复杂髋臼骨折,术前认真阅读影像资料、选择合适的入路和固定方法,术后早期功能锻炼可取得较好的临床效果。

Objective： To analyze the effect on the operation of high-energy acetabulum fractures.Methods： According to 72 cases with the types of high-energy acetabulum fracture,appropriate surgical was adopted to approach the complex fracture and made an internal fixation.Results： All operation completed successfully,64 cases were obtained for follow-up,in accordance with standard： 46 cases with anatomical restoration,12 cases in satisfaction restoration,6 cases with reset bad,satisfied reset rate was 90.63%.Reference Ceunnar A hip function evaluation criterion,41 cases were optimal,16 cases were good,4 cases less good,3 cases was poor,good rate was 89.06%.6 cases with heterotopic ossification,3 cases with femoral head ischemic necrosis.Conclusion： Surgical to treatment high-energy complex acetabulum fractures with carefully read image data before operation,appropriate approaches and fixation method.Patients should make a early function exercise in order to acquire the better clinical effects.