髋关节后脱位伴股骨头骨折的治疗  

The treatment of posterior hip dislocation combined with femoral fractures

作　　者：黄建国[1] 杨海波[1] 袁海峰[1] 李平[1] 

机构地区：[1]宁夏医学院附属医院骨科,银川市750004

出　　处：《中华创伤骨科杂志》2003年第1期10-14,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨髋关节后脱位合并股骨头骨折的治疗方法与愈后。方法分析29例髋关节后脱位合并股骨头骨折患者的分型、治疗时间及治疗方式。27例获得随访(93.1%),随访时间1～15年(平均7年)。以X光平片及髋关节功能恢复情况评价其愈后。结果29例髋关节后脱位合并股骨头骨折患者按Pipkin分类法分型,Ⅰ型13例(占44.8%),Ⅱ型9例(占31%),Ⅲ型3例(占10%),Ⅳ型4例(占14.2%),对27例获得随访者按HHS(HarrisHipScore)功能评价标准,Ⅰ型中优为9例(占33.3%),良2例(占7.4%),可1例(占3.7%),差0例(占0%),Ⅱ型中优为0例(占0%),良2例(占7.4%),可4例(占14.9%),差2例(占7.4%),Ⅲ型中优1例(占3.7%),良0例(占0%),可1例(占3.7%),差1例(占3.7%),Ⅳ型中优0例(占0%),良2例(占7.4%),可1例(占3.7%),差1例(占3.7%),其中行人工全髋关节置换者4例(占总例数13.7%)。结论髋关节后脱位合并股骨头骨折的治疗方法应根据损伤机制、骨折脱位类型确定。其愈后取决于患者的年龄、治疗时间、骨折脱位类型、治疗方法以及预防并发症的相关措施。Objective To discuss the treatment method and prognosis of posterior hip dislocation combined with femoral fractures. Methods Twenty nine patients who had been diagnosed as cases of posterior hip dislocation combined with femoral head fracture were reviewed, with their type of fracture, timing of treatment and method of treatment analyzed. Twenty seven (93.1%) of the 29 cases were followed up from 1987 to 2002 for an average period of seven years. Their prognosis was evaluated according to the x ray radi...

关 键 词：髋关节后脱位 股骨头骨折 治疗 

分 类 号：R684[医药卫生—骨科学]