【摘要】 目的:评价手术治疗髋关节后脱位合并股骨头骨折(Pipkin骨折)的效果。方法:32例患者按Pipkin骨折分型:Ⅰ型8例,Ⅱ型15例,Ⅲ型3例,Ⅳ型6例。根据骨折分型、年龄、术前影像资料及术中探查情况综合考虑治疗方法,其中切开复位内固定30例,人工关节置换2例。结果:27例切开复位内固定病例平均随访时间28个月,疗效优11例(40.7%),良11例(40.7%),可3例(11.1%),差2例(7.5%),优良率81.4%。结论:取得良好效果的关键在于早期诊断并根据Pipkin骨折分型选择合适的手术入路及固定方式。可吸收螺钉内固定是一种理想的固定方法。更多还原

【Abstract】 Objective: To evaluate the result of operative treatment of hip dislocation combined with fractures of the femoral head. (Pipkin fracture). Methods: 32 cases were classified according to Pipkin classification,including 8 cases of type Ⅰ,15 cases of type Ⅱ,3 cases of type Ⅲ and 6 cases of type Ⅳ. Various surgical procedures were taken according to the classifications,ages,preoperative images and intraoperative check of the patients. Open reduction and fixation were taken in 30 patients and total hip replacement were performed in 2 patients. Results: Follow-up averaged 28 months,the post-operative function in 27 cases of internal fixation were: excellent in 11 cases (40.7%),good in 11 cases(40.7%), fair in 3 cases(11.1%),poor in 2 case (7.5%). The excellent rate was 81.4%. Conclusion: The key to good result for treating Pipkin fracture is early diagnosis and early operation. Operative approach should be chosen with various situations. Internal fixation with absorbable screw is an ideal method.更多还原