髋关节后脱位合并股骨头骨折（附8例临床报告）  

Posterior Dislocations of Hip joint Accmpanied by Femoral Head Fracture-Clinical Report of 8 cases

作　　者：叶开华[1] 陈汝轻[1] 刘国辉[1] 

机构地区：[1]同济医科大学附属协和医院骨科

出　　处：《伤残医学杂志》1996年第4期3-4,共2页Medical Journal of Trauma and Disability

摘　　要：本文通过对８倒髋关节后脱位合并股骨头骨折的临床观察，提出了其受伤机制为：在髋关节半屈位受间接强大暴力所致．由于职业的原因，多发生于男性青壮年．治疗宜早期采用髋关节后外侧人路切开复位内固定．髋关节前入路复位及固定困难，不宜采用．本组８例中７例采用早期切开复位内固定，１例闭合复位．随访１４月—４６月，平均２６月．疗效优良７例，差１例，效果较满意．Through of imcal observation and s tudy of & cases with pos teriordislocation of hip joint accompanied by femoral head fracture, this articleadyances that the injury mechanism is an indirect strong force at the hip joint which is inhalf-flexion position. Because offoccupation ohese injuries largely occur in male yggng adulis. Open reduction and internal fication should be early performedthrough post-lateral incision of hip. The anterion incision of hip should not be used for it is difficult to reduct and fix. In this group of 8 cases, 7 cases earlyperformed open reduction and internal fixation, 1 case performed close reduction. I cases were followed for 14 to 46 months, average 26 months. The results of 7 cases were excellent, another was unsatifactory.

关 键 词：股骨头 髋关节 骨折 脱位 

分 类 号：R683.42[医药卫生—骨科学]