【摘要】 目的对46例手术治疗的髋臼骨折作一总结。方法我院行髋臼骨折切开复位内固定术患者46例。术后骨牵引3～4周;术后3 d开始髋关节被动活动和股四头肌功能锻炼。术后8～16周逐渐扶拐下地行走,术后16～24周逐步进行负重活动。结果采用六孔或八孔弧形钢板固定髋臼前柱或后柱或前后柱同时固定37例,采用四孔或五孔钢板固定耻骨联合6例,采用四孔钢板固定骶髂关节4例,采用皮质骨螺丝钉固定前柱1例。治疗后优28例,良9例,一般5例,差4例。结论对于绝大多数移位的髋臼骨折应以手术治疗为主。更多还原

【Abstract】 Objective To analyze the therapeutic effect of surgical operation on 46 cases of acetabular fractures in our hospital.Methods 46 patients with acetabular fractures accepted open reduction and internal fixation(ORIF)in our hospital,with skeletal traction for 3~4 weeks after operation.Gradually passive motion of the hip joint and the excise of the femoral quadriceps were started on the third postoperative day.The patients were confined to bed for 8 weeks,then the patients started gradually the weight loading exercise 16-24 weeks after operation.Results 37 patients were treated by 6-hole or 8-hole plate on the anterior column,posterior column or both columns.6 patients were treated by 4-hole or 5-hole plate on the symphysis pubis.4 patients were treated by 4-hole plate on the sacroiliac joint.Only one patient was treated by cortical screw on the anterior column.Among these patients 28 cases were excellent.9 cases were good.5 cases were fair and 4 cases were poor.Conclusion The open reduction and internal fixation(ORIF) should be used for the most patients with displaced acetabular fractures.更多还原