【摘要】 目的　提高髋臼骨折手术治疗的疗效。　方法　总结 1993年 8月至 2 0 0 0年 12月 178髋髋臼骨折手术治疗的病例 ,对患者功能结果及主要并发症进行统计分析。　结果　 112髋获得随访 ,平均随访时间 4 5 7个月。手术后出现异位骨化 2 6髋 ,发生创伤性关节炎 2 2髋 ,8例股骨头坏死 ,术后坐骨神经损伤 7例 ,未发生感染和死亡。　结论　异位骨化主要发生在扩展的髂股骨入路及Kocher Langenbeck入路 ;术后创伤性关节炎的出现与手术复位质量有关 ,与股骨头软骨损伤也有关。更多还原

【Abstract】 Objetive To improve the effect of operative management of acetabular fractures.Methods One hundred and seventy eight acetabular fractures were treated operatively from August 1993 to December 2000. Their functional results and complications were analyzed. Results One hundred and twelve hips were followed up for an average of 45.7 months. Heterotopic ossification was noted in 26 hips, post-operative osteoarthritis in 22 hips,avascular necrosis of the femoral head in 8 hips, and siatic nerve injury in 7 hips after operations. No death and infection were found in this series. Conclusions Ectopic bone formation develops at extened ilio-femoral and Kocher-Langeneck approaches. Cartilaginous injury of the femoral head is contributable to post-operative osteoarthritis, and imperfect reduction is an important factor in the genesis of osteoarthritis.更多还原