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髋臼骨折的手术治疗

Operative treatment of acetabular fractures

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【作者】 谢文龙周国顺管国华蒋雪生沈鹏李伟陈成东

【Author】 Xie Wenlong,Zhou Guoshun,Guan Guohua,Jiang Xuesheng,Shen Peng,Li Wei,Chen Chengdong (Department of Orthopedics,Huzhou Cental Hospital,Zhejiang 313000,China)

【机构】 浙江省湖州市中心医院浙江省湖州市中心医院 313000313000313000

【摘要】 目的 :探讨髋臼骨折的手术治疗效果和影响疗效因素。方法 :对 31例髋臼骨折患者进行切开复位内固定治疗。结果 :平均随访 18个月 (6~ 36月 ) ,根据 Matta评分标准优 16例 ,良 8例 ,一般 4例 ,差 3例。 1例术后发生深部感染 ,1例术后 18个月发生股骨头坏死。结论 :髋臼骨折 ,特别是有移位的髋臼骨折应及时手术治疗。手术医师的经验、骨折类型、手术时机和入路会影响髋臼骨折的疗效

【Abstract】 Objective;To improve the effect of operative treatment of acetabular fractures by analyzing the clinical experiences in the treatment and the factors influencing the reduction of the fractures.Methods:31 patients with acetabular fracture were trated by open reduction and internal fixation in our department.Results:The average follow-up period was 18 months(ranging from 6 to 36 months).Excellent results were found in 16 cases,good in 8,fair in 4,and poor in 3.Avascular necrosis of the femoral head and deep infection were found in 1 cases,respectively.Conclusions:Surgical intervention is needed for displaced acetabular fractures.Surgeon′s experience,the type of fracture,time to surgical treatment and choice for surgical approach are influencing clinical results of acetabular fractures.

【关键词】 髋臼骨折手术治疗疗效
【Key words】 Acetabular fracturesOperative treatmentEffect
  • 【文献出处】 实用骨科杂志 ,Journal of Practical Orthopedics , 编辑部邮箱 ,2003年04期
  • 【分类号】R687.3
  • 【下载频次】43
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