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