开放复位内固定治疗髋臼骨折

Acetabular Fracture Treated with Open Reduction and Internal Fixatiion

目的 :探索髋臼骨折的有效治疗方法。方法 :本组收治 42例 ,男 31例 ,女 11例。平均年龄 46 .4岁。非手术治疗 6例 ,手术复位内固定 34例 ,全髋关节置换术 2例。结果 :39例平均随访 30 .1个月 ,优 31例 ,良 2例 ,可 3例 ,差3例 ,优良率 84.6 %。讨论 :髋臼骨折的保守治疗与手术治疗互补而非对立 ,理想的手术时机为损伤后 2～ 10d。重建钢板技术是较好的治疗方法 ,螺钉的植入方向是其技术关键。髋臼骨折的预后与骨折类型、损伤程度。

Objective:To find out satisfying methods for acetabular fracture treatment.Methods:42 cases of acetabular fracture were treated.31 cases of them were male and 11 female,averaging 46.4 years.6/42 cases were treated conservatively,while 34/42 with operative reduction and internal fixation,2/42 with total hip replacement.Results:39/42 cases were followed-up averaging 30.1 months.31/39 were excellent,2/39 good,3/39 fair,3/39 poor.Discussion:Conservative and surgical treatments are two complementary choices.Optimal time for surgery is 2 to 10 days after injury.Reconstruction plates technique may be the best method of internal fixation of the acetabular fracture.The type and severity of the acetabular injury are the most important factors of prognosis.The result of reduction is another most important factor.