摘要
目的 探讨既能明确解剖部位又能反映损伤程度的髋臼骨折实用分型方法 ,评价其对临床治疗方式选择的指导作用。方法 对 83例髋臼骨折患者分别摄正位、闭孔斜位、髂骨斜位X线片 ,并测量其弧顶角大小 ,依据骨折移位程度、弧顶角大小及解剖部位进行分型 ,分别采用牵引和手术治疗。结果 83例中 ,Ⅰ型 30例、ⅡA 型 8例、ⅡB 型 6例、ⅢA 型 9例、ⅢB 型12例、ⅣA 型 7型、ⅣB 型 11例。牵引治疗 4 1例 ,优良率 73 2 % ;手术治疗 4 2例 ,优良率 83 3%。结论 实用分型法是一种能为正确选择治疗方法和选择手术入路提供较为量化依据的髋臼骨折分型法 ,且简单、实用并能涵盖几乎所有髋臼骨折。
Objective To discuss the practicality classification system of acetabular fracture, that can characterize anatomy part and exhibit degree of fracture, to evaluate its direction to select manner of treatment.Methods Eighty-three cases of acetabular fracture were taken anteroposterior view (APV),obturatum oblique view (OOV) and ilium oblique view (IOV) X-ray film, measured its roof arc angle.According to degree of displacement, size of roof arc angle and part of anatomy, they were classified and treated with traction or surgery.Results In 83 cases, 30 cases were typeⅠ,8 cases were type Ⅱ A, 6 cases were type Ⅱ B, 9 cases were type Ⅲ A , 12 cases were type Ⅲ B, 7 cases were type Ⅳ A, 11 cases were type Ⅳ B.41 cases were treated with traction, excellent rate was 73 2%.42 cases were treated with surgery, excellent rate was 83 3%.Conclusion The practicality classification system is simple, practicality and quantifies method of classification of acetabular fracture, it contains most acetabular fractures, for exact choice of treatment methods and surgery approach.It is the key of acquired good curative effect, that traction or differ internal fixation are treated with kid gloves.
出处
《骨与关节损伤杂志》
2004年第11期749-751,共3页
The Journal of Bone and Joint Injury
关键词
髋臼骨折
实用分型
治疗
解剖部位
Acetabular fracture
Roof arc angle
Classification
