手术治疗移位髋臼骨折的临床探讨  

Clinical study of surgical treatment of displaced acetabular fractures

作　　者：许传金 周仁实 阮才政 肖菊芳 

机构地区：[1]广东阳春市人民医院骨一科,广东阳春529600

出　　处：《岭南现代临床外科》2016年第2期184-187,共4页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨和总结移位髋臼骨折的治疗方法。方法对我院从2010年5月~2015年5月收治的19例移位髋臼骨折患者进行回顾分析,总结其治疗方法及临床效果。结果 19例均获得随访,随访6~24个月（平均18个月）,临床效果评价采用改良的d’Aubigne-Postel髋关节评分标准进行评分,优14例,良3例,可1例,差1例,优良率89.5%。1例术后出现严重的创伤性关节炎并股骨头缺血坏死行人工全髋关节置换,1例采用后入路患者发生异位骨化,1例术中牵拉损伤坐骨神经。结论采用合适的手术治疗方法治疗移位髋臼骨折,能重建髋关节的匹配及稳定性,术后患者可早期活动,临床疗效良好。Objective To evaluate and summarize the effect of surgery on displaced acetabular fractures. Methods From May 2010 to May 2015, 19 cases of displaced acetabular fractures were treated in our hospital. Case files were retrospectively analyzed. Results Through follow-up from an half to two years（average 1.5 years）, the clinical effect in 19 cases was evaluated by the improved d ＇Aubigne and Postel hip score standards and results included excellent in 14 cases,good in 3 cases, fair in 1 cases, poor in 1 cases and a good rete of 89.5%. One patient was performed artificial total hip replacement due to post-operative severe traumatic arthritis and ischemic necrosis of femoral head. One patient developed heterotopic ossification. And one patient was injured sciatic nerve. All three patients were getting well. Conclusion Proper surgical treatment for displaced acetabular fractures is appropriate for reconstruction of the congruency and stability of the hip joint and allows the patient to do weight-bearing earlier.

关 键 词：髋臼 骨折 治疗 

分 类 号：R683.3[医药卫生—骨科学]