髋臼后壁骨折的治疗与研究进展

Progress in treatment and research of acetabular posterior wall fracture

髋臼后壁骨折是最常见的髋臼骨折类型。尽管属于简单骨折，但是常常合并髋关节脱位、股骨头骨折、坐骨神经损伤等。合并伤、后壁骨折亚型、复位质量、髋关节复位时机等因素影响后壁骨折的预后。目前髋臼骨折的流行病学正在发生改变，新的技术应运而生。且最新研究发现后壁骨折治疗效果仍然不理想。为了缩短初学者对后壁骨折的学习曲线、改善后壁骨折的预后、有效规避后壁骨折的陷阱，本研究结合髋臼骨折治疗经验和大量的后壁骨折最新文献，对后壁骨折的治疗和研究进行概括和总结。

Fracture of the posterior wall is the most common type of acetabular fractures, but it is often associated with such injuries as dislocation of hip joint, femoral head fracture and lesion of sciatic nerve. Latest researches have found that treatments of fracture of the acetabular posterior wall often lead to unsatisfactory outcomes because its prognosis is influenced by a variety of factors, including its associated injuries, subtypes, and quality and timing of surgical reduction. This review summarizes extensive clinical experiences in treatment of the fracture and available literature concerning management and research of the fracture so as to provide enough information for junior surgeons to have a better understanding of the fracture and its treatment, improving the prognosis of the fracture and effectively avoiding the pitfalls in their clinical practice.