摘要
目的探讨髋臼骨折的分型、手术入路及手术疗效。方法对34例髋臼骨折患者按骨折类型选择手术入路和复位内固定,随访评价术后治疗效果。结果 34例均获随访,时间为6个月～4年;骨折6～9个月均达骨性愈合。按Matta评定标准:解剖复位19例,满意复位13例,不满意复位2例。髋关节功能按D'Aubingne评分标准:优19例(55.8%),良12例(35.2%),可2例(6%),差1例(2.9%),优良率91.1%。1例股骨头坏死,2例坐骨神经损伤,3例创伤性关节炎。结论手术是治疗髋臼骨折的有效方法,正确的骨折分型,选择合理的手术入路及内固定物,关节面的解剖复位,是获得理想疗效的关键。
Objective Objective to investigate the classification of acetabular fracture ,operation approach and effect. Methods 34 patients with displaced aeetabular fractures were classified according to Letournal and Judet classification, and all cases were undergone open reduction and internal fixation through different approaches. Results 34 cases were followed up for 6 months to 4 years. All fractures got healing in 6 ~ 9 months. According to Matta standards, anatomical reduction was obtained in 19 cases, 13 with satisfactory reduction and 2 with unsatisfactory reduction. According to D＇Aubingne grading system, 19 （55.8%） cases showed excellent, 12 （35.2%） cases good, 2 （6%） fair,and 1 （2.9%） poor. The excellent and good rate was 91.1%. 1 patient was complicated with femoral head necrosis,sciatic nerve injury in 2,3 with traumatic arthritis. Conclusion Surgery is an effective method of acetabular fractures. The con＇eet choice of surgical ap- proach and fixations, fracture segments, all of these are keys to posterior outcomes.
出处
《安徽医学》
2013年第7期908-910,共3页
Anhui Medical Journal
关键词
髋臼骨折
骨折内固定术
疗效
Acetabular fracture
Internal fixation
Curative effect
