复杂髋臼骨折早期结构重建的临床研究

目的：探讨复杂髋臼骨折结构重建的时机，为临床手术治疗提供准确的时间选择。方法：采用前瞻性随机对照试验的方法，将入院的复杂髋臼骨折患者分成试验组和对照组，其中试验组93例（96髋），对照组98例（101髋），试验组于伤后7d内完成手术，对照组于伤后10d后完成手术。用手术时间、术后复位的优良率、术后并发症、关节功能评定（疼痛行走、关节活动度）、SF-36等作为观察指标。结果：①试验组按各型骨折分类其所用的手术时间明显低于对照组。②按Matta关节功能和X线评定标准，试验组明显好于对照组。③在对术前、术后立即和术后半年的CT评定中，试验组的复位优良率明显高于对照组。结论：复杂髋臼骨折通过早期结构重建，能明显减少手术时间，增加手术复位率，减少并发症的发生．

Clinical study on the early reconstruction of complex acetabular fractures

Objective ：To explore the best opportunity of structure reconstruction for complex acetabular fracture in order to provide the accurate time for clinical operative treatment. Methods：Complex acetabular fracture patients were divided into experimental group （93 cases,96 hips） and control group （98 cases, 101 hips） randomly according to the operative time. The operation of patients were done respectively at the 7th, 10th day after injury in experimental group and control group. The operative time, the excellent and good rate of reduction, the postoperative complications, the joint function （ache to walk,joint activity） ,the SF-36 were evaluated. Results： （1）The operative time of experimental group was obviously shorter than control group according to different fracture classification. （2）According to the standard of Matta joint function and X-ray, the experi- mental group was better than control group. （3） The excellent and good rate of reduction in experimental group was obviously higher than control group, according to CT scan before operation and after operation. Conclusion：The early structure recon- struction of complex acetabular fracture can obviously decrease operative time and complications, increase the rate of operative reduction