期刊文献+

陈旧性髋臼骨折的手术治疗 被引量:8

Operative treatment of delayed acetabular fractures
原文传递
导出
摘要 目的 探讨陈旧性髋臼骨折手术治疗的方法并评价术后疗效。 方法 对 1993年 8月~ 2 0 0 1年 8月手术治疗的陈旧性髋臼骨折 3 2例的手术入路、手术方法、功能结果及并发症进行回顾性分析。 结果 平均随访时间 49 6个月。髋关节功能评分优 3例 ,良 16例 ,中 10例 ,差 3例 ,优良率为 5 9 4%。术后出现坐骨神经损伤 1例 ,出现异位骨化 6例 ,股骨头坏死 3例。 结论 陈旧性髋臼骨折的治疗要慎重选择手术指征 ,经恰当的手术入路 ,正确的复位固定方法 。 Objective To assess the operative methods of delayed acetabular fractures and the operative results. Methods The operative approaches, procedures, results and complications of the delayed acetabular fractures between August 1993 and August 2001 in Jishuitan Hospital were evaluated retrospectively. Results Thirty two patients were followed up 49.6 months on average. Sciatic nerve palsy was found in 1 patient. Excellent functional results of hip joints were found in 3 patients, good in 16 , fair in 10, and poor in 3. Ectopic bone formation was observed in 6 patients and necrosis of the femoral head in 3. Conclusion Careful selection of operative indications of delayed acetabular fractures in combination with proper operative approach and appropriate reduction and fixation, good results can be obtained.
出处 《中华外科杂志》 CAS CSCD 北大核心 2003年第2期130-133,共4页 Chinese Journal of Surgery
关键词 髋骨折 髋臼 骨折 手术 治疗 Hip fractures Acetabulum Fracture Operation
  • 相关文献

参考文献12

  • 1Judet R,Judet E,Letournel E.Fracture of the acetabulum:classification and surgical approach for open reduction. J Bone Joint Surg Am,1964,46:1615-1638.
  • 2Merle d′Aubigne R,Postel M.Functional results of hip arthroplasty with acrylic prosthesis.J Bone Joint Surg Am,1954,36:451-476.
  • 3Matta JM,Anderson LM,Epstein HC. Fracture of the acetabulum: aretrospective analysis.Clin Orthop,1986,205:230-240.
  • 4Brooker AF, Bowerman JW, Robinson RA, et al.Ectopic ossification following total hip replacement: incidence and a method of classification. J Bone Joint Surg Am,1973,55:1629-1632.
  • 5Mears DC,Vel JH. Acute total hip arthroplasty for selected displaced acetabular fractures.J Bone Joint Surg Am,2002,84:1-9.
  • 6Johnson EE, Matta JM, Mast JW, et al. Delayed reconstruction of acetabular fracture.Clin Orthop,1994,305:20-30.
  • 7Letournel E, Judet R. Fracture of the acetabulum. 2nd ed.New York:Springer-Verlag,1993.591-633.
  • 8Schmidt SA, Anderson PK, Pedersen NW,et al.The use of prevent the formation of heterotopic bone after total hip replacement: a randomized,double-blind clinical trial. J Bone Joint Surg Am,1988,70:834-838.
  • 9Mclaren AC.Prophylaxis with indomethacin for heterotopic bone: after open reduction of fractures of the acetabulum. J Bone Joint Surg Am,1990,72:245-247.
  • 10Johnson EE, Kay RM, Dorey FJ.Heterotopic ossification prophylaxis following operative treatment of acetabular fracture. Clin Orthop,1994,305:88-95.

同被引文献85

  • 1孙玉强,鲍琨,金东旭,唐明杰,曾炳芳.陈旧性髋臼骨折的治疗[J].中华创伤骨科杂志,2005,7(12):1117-1120. 被引量:12
  • 2Giannoudis PV, Nikolaou VS, Kheir E, et al. Factors determining quality of life and level of sporting activity after internal fixation of an isolated acetabular fracture. J Bone Joint Surg Br. 2009;91(10):1354-1359.
  • 3Tannast M, Siebenrock KA. Operative treatment of T-type fractures of the acetabulum via surgical hip dislocation or Stoppa approach. Oper Orthop Traumatol. 2009;21(3): 251-269.
  • 4O'Herlihy L, Elkins MR. Ultrasound may promote fracture healing but this does not necessarily accelerate return of function. Br J Sports Med. 2013;47(6):397-398.
  • 5Hessmann MH, Ingelfinger P, Dietz SO, et al. Reconstruction of fractures of the anterior wall and the anterior column of the acetabulum using an ilioinguinal approach. Oper Orthop Traumatol. 2009;21 (3):236-250.
  • 6Raschke M J, Stange R, K?sters C. Treatment of periprosthetic and peri-implant fractures : modern plate osteosynthesis procedures. Unfallchirurg. 2012;115(11):1009-1021.
  • 7Culemann U, Holstein JH, Kohler D, et al. Different stabilisation techniques for typical acetabular fractures in the elderly-a biomechanical assessment. Injury. 2010;41(4): 405-410.
  • 8Letournel E, Judet R. Fractures of the Acetabulum. 2nd ed. New York: Springer-Vedag; 2006.
  • 9Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am. 1996; 78(11): 1632-1645.
  • 10T?mkvist H, Schatzker J. Acetabular fractures in the elderly: an easily missed diagnosis. J Orthop Trauma. 1993;7(3): 233-235.

引证文献8

二级引证文献64

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部