老年髋臼移位骨折治疗方法的选择与预后探讨  

Prognosis analysis of acetabular displaced fracture in the elderly

作　　者：王宏伟[1] 王宇[1] 梅继文[1] 王芳[1] 

机构地区：[1]吉林医药学院附属医院,吉林吉林132013

出　　处：《中国现代医学杂志》2013年第13期95-98,共4页China Journal of Modern Medicine

基　　金：吉林省教育厅"十二五"科学技术研究项目(No:吉教科合字2012第327号)

摘　　要：目的研究老年人髋臼移位骨折采用骨牵引与手术治疗的疗效比较。方法将59例具有手术指征髋臼骨折老年患者结合患方意愿分为骨牵引组(23例)和手术组(36例),分别进行比较。结果该组随访时间6-90个月,平均48个月。最后随访时,骨牵引治疗组解剖复位5例(22%)、满意复位14例(61%)、不满意复位4例(17%),Harris评分65-93分,平均81分,优良率74%。切开复位内固定术治疗组解剖复位29例(81%)、满意复位7例(19%),Harris评分80-97分,平均92分,优良率100%。结论手术治疗老年患者髋臼移位骨折疗效明显优于骨牵引。【Objective】 To compare the clinical results of open reduction and internal fixation with skeletal traction in the treatment of acetabular displaced fractures in the elderly.【Methods】 59 cases with acetabular fracture with surgical indications in the elderly were divided into 2 groups： The traction group（23 cases） and the operation group（36 cases）,according to the wishes of patients,and given treatment.【Results】 All cases in this series had been followed up for 6～90 months with a mean of 48 months.In the traction group,anatomical reduction was 5 case（22%）,satisfying reduction 14 cases（61%）,dissatisfying reduction 4 cases（17%）,a mean Harris score of 81（ranging from 65 to 93）,excellent rate was 74%;in the operation group,anatomical reduction was 29 case（81%）,satisfying reduction 7 cases（19%）,a mean Harris score of 92（ranging from 80 to 97）,excellent rate was 100% in the latest follow-up.【Conclusion】 Operative treatment is clearly better than skeletal traction in treatment of acetabular displaced fracture in the elderly.

关 键 词：髋臼 骨折 内固定 骨牵引 

分 类 号：R683.3[医药卫生—骨科学]