髋臼骨折的治疗(附39例分析)

Treatment of acetabular fractures:Report of 39 cases

目的 :探讨髋臼骨折的有效治疗方法。方法 :对 39例髋臼骨折进行回顾性研究。结果 :经 1～ 3年随访 ,非手术治疗 2 3例 ,优 13例 ,良 3例 ,可 2例 ,差 5例。手术内固定治疗 12例 ,优 7例 ,良 2例 ,可 2例 ,差 1例。全髋关节置换术 4例 ,优。结论 :髋臼骨折应力求解剖复位 ,非手术治疗适合髋臼形态基本正常 ,未波及负重顶的低位骨折 ;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内固定治疗。

Objective:To explore effective treatment methods of acetabular fractures.Methods:Retrospective study was made on 39 cases of acetabular fractures.Results:All patients were followed up for 1～3 years in 23 cases treated with non-operation,the result of the treatment was evaluated as excellent in 13 cases,good in 3 cases,fair in 2 cases,poor in 5 cases.In 12cases treated with operation,excellent in 7 cases,good in 2 cases,fair in 2 cases,poor in 1 case.4 cases treated with total hip replacement,all excellent.Conclusion:The acetabular fractures need achieve anatomical reduction.The non-operation treatment is suitable for those cases of basically normal position of acetabular,low fractures untouching the weight-bearing dome of acetabular.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.The total hip replacement is necessary for those cases of old acetabular fractures of deformity cicatrize and severe fractures.