髋臼横形骨折与横形伴后壁骨折的诊断和治疗  

Diagnosis and treatment of acetabular transverse fractures and transverse associated with posterior wall fractures

作　　者：王先泉[1] 张进禄[1] 周东生[1] 

机构地区：[1]山东大学山东省立医院创伤骨科,济南250021

出　　处：《中国矫形外科杂志》2004年第23期1803-1805,共3页Orthopedic Journal of China

摘　　要：目的探讨髋臼横形骨折和横形伴后壁骨折的诊断步骤和治疗方法。方法自1996年10月～2004年5月共治疗髋臼横形骨折9例,横形伴后壁骨折12例。结果随访1～4年,平均2年,结果手术治疗的解剖复位组关节功能表现优良者15例,可2例;复位欠佳组关节功能表现良1例,可1例;不满意复位组关节功能表现差1例。非手术治疗组关节功能表现可1例。结论低位髋臼横形骨折可以采用非手术治疗,而高位横形骨折和横形伴后壁骨折多采用手术治疗。Objective:To explore diagnosis procedure and treatment of acetabular transverse fractures and transverse associated with posterior wall fractures. Method:From Oct. 1996 to May 2004, the authors treated 9 cases of acetabular transverse fractures and 12 cases of transverse associated with posterior wall fractures. Result: All patients were followed up for 1 year to 4 years, averaged 2 years. Among operative patients, there were 15 cases joint function reaching excellent or good and 2 cases fair in anatomical reduction group, there was 1 case joint function reaching good and 1 case fair in imperfect reduction group, there was 1 case joint function poor in unsatisfactory reduction group. Among nonoperative group, there was 1 case joint function fair. Conclusion: Low variety acetabular transverse fractures can be treated with nonopevative therapy, high variety acetabular transverse fractures and transverse associated with posterior wall fractures always need operation.

关 键 词：髋臼骨折 诊断 治疗 横形 横形伴后壁 

分 类 号：R683.3[医药卫生—骨科学]