髋臼骨折手术治疗的疗效分析

目的：探讨髋臼骨折手术治疗的疗效及其并发症的防治。方法：2000年1月—2008年6月,采用切开复位内固定治疗了20例髋臼骨折,骨折按Letournal-Judet分型标准分类。其中前柱骨折4例,前壁前柱骨折2例,后柱骨折4例,后壁后柱骨折2例,后壁骨折2例,横行骨折2例,双柱骨折4例。术后定期随访观察疗效并记录并发症发生情况。结果：所有患者均获随访,随访时间6~36个月,平均20个月。所有骨折均愈合,并发异位骨化1例,髋关节创伤性关节炎1例。临床功能按d′Aubigne-Postel髋关节功能评分：优10例,良8例,优良率为90%。结论：手术治疗有移位的髋臼骨折要求术前对骨折充分评估,选择合理的手术切口及内固定物,关节面解剖复位,是获得理想的疗效的关键。

Study on Operative Treatment of Fractures of the Acetabulum

Objective：To explore the surgically treatment effects and prevention of complications of fractures of acetabulum.Methods： Twenty patient with fractures of the acetabulum were received reduction and fixation from January 2001 to June 2008.According to Letournal-Judet classifications,there were 4 cases with anterior column fracture,2 cases with anterior column associated with anterior wall fractures,2 cases with transverse acetabular fractures,2 cases with posterior column fracture associated with posterior wall fracture,4 cases both column fractures.The clinical results were evaluated with d′Aubigne and Postel hip score standard.Results： All patients were followed up 6 month to 36 month,the average time were 20 monthes.The excellent and good rate was 90%.Conclusions： Surgically treatment effects of acetabular fracture.