摘要
目的 为了提高髋臼骨折的治疗效果 ,对影响髋臼骨折手术治疗效果的一些因素进行分析 ,找出对治疗效果有直接影响的一些相关因素。方法 对 78例手术治疗的髋臼骨折患者 1~ 8年 ,平均 3年的随访 ,髋臼骨折按 AO方法进行分类并评价其术后髋关节功能和 X线表现。结果 按 Matta复位标准 ,解剖复位 37例 ,满意复位 2 1例 ,不满意复位 2 0例。患髋功能评价 ,优 2 1例 ,良 2 3例 ,可 18例 ,差 16例。优良率 5 6 .4%。结论 髋臼骨折的治疗应象其他关节内骨折一样 ,应尽量达到解剖复位或接近解剖复位 ;手术时间应在伤后 1周以内。髋臼粉碎骨折伴髋关节脱位者 ,如髋关节复位后髋臼形态大致正常 。
Objective In order to improve the curative efficacy of acetabular fracture,the correlative factors which can interfere in the prognosis of operation are analysised.Methods 78cases with acetabular fracture were involved in this retrospective study.These patients were followed up for1~8 years,average for 3 years.The acetabular fracture were classified on the criteria of AO and the postoperative function、Xray were evaluated.Results According to the criteria of Metaa,there were 37 cases acquiring anatomical reduction,21 cases acquiring satisfactory reduction and 20 cases acquiring unsatisfactoy reduction.For the postoperative evaluation of acetabular fracture,there were 21 excellent cases,23 good cases,18 fair cases,16 poor cases.The percentage of excellent and good are 56,4%.Conclusions The acetabular fracture should be treated just like other intraarticular fractures.The principles include:①anatomical reduction or nearly anatomical reduction;②the operation should be performed in one week;③for the comminuted acetabular fracture which is complicated by the dislocation of hip joint,the conservative treatment can be considered if the contour of acetabula is approximately normal after hip reduction.
出处
《四川医学》
CAS
2000年第5期388-390,共3页
Sichuan Medical Journal
关键词
髋臼骨折
疗效分析
外科手术
Acetabular fracture Operative treatment Efficacy analysis