手术治疗髋臼骨折的临床意义

CLINICAL SIGNIFICANCE OF SURGICAL TREATMENT FOR ACETABULAR FRACTURE

目的 :探讨髋臼骨折的有效治疗方法。方法 :34例髋臼骨折中 18例保守治疗 ,主要采用骨牵引 ;16例手术治疗 ,主要采用预弯弧形钢板和螺钉固定。结果 :平均随访 16 .5个月。保守组 4例不满意复位 ,14例满足复位 ,优良率 6 6 .7% ;手术组 2例满意复位 ,14例解剖复位 ,优良率 87.5 %。结论 :髋臼骨折有手术指征时早期手术治疗能及早恢复髋关节功能。根据骨折类型选择不同的手术入路。

Objective:To explore effective treatment for the acetabular fractures.Methods:34 cases of acetabular fracture were divided into two groups randomly,16 cases of surgical treatment were fixed with screws and pre-curve acetabular plates and 18 cases of conservative treatment with skeletal traction.Results:The surgical group reached anatomical reduction except for 2 cases.In the conservative group,4 cases showed unsatisfactory reduction and the others demonstrated satisfactory reduction.All cases have been followed up average for 16.5 months.The excellent rate was 87.5% in the surgical group and 66.7% in the conservative group respectively.Conclusions:Clinical analysis of the cases showed that surgery was a better option when the patients condition was good so that the fracture could almost achieve anatomical reduction.It suggests that the treatmet should base on the type of the fracture.