手术治疗髋关节后脱位合并股骨头与髋臼骨折的体会

目的：探讨髋关节后脱位合并股骨头与髋臼骨折的手术治疗效果与预后。方法：回顾性总结17例髋关节后脱位合并股骨头骨折与髋臼骨折患者的手术治疗经验。所有患者于伤后12h内行髋关节手法复位,并于术前通过CT定位,股骨头骨折采用切开复位可吸收螺钉内固定,髋臼骨折根据情况或予切除,或予钢板内固定。结果：17例患者术后6个月内所有骨折均骨性愈合,无股骨头坏死,按Modifie Daobigne and Postal临床分级标准评定关节功能恢复情况,优8例,良7例,可2例。优良率为88.2%。结论：髋关节后脱位伴股骨头骨折与髋臼骨折,采取手术治疗可获得较好的预后。

Surgical treatment for posterior hip dislocations complacated with fractures of femoral head and acetabulum

Objective: To explore the effectiveness and prognosis on surgical treatment of posterior hip dislocations complacated with fractures of femoral head and acetabulum. Methods: Seventeen patients with posterior hip dislocations complacated with fractures of femoral head and acetabulum were reviewed in the study. All the patients were treated with manual reduction within 12 hours after injury. CT location was used before operation. Absorbable screw fixation was performed for the femoral head fractures,while plate fixation or resection was performed for acetabular fractures. Results: All the patients got bony union within 6 months after operation without femoral head necrosis. Evaluate joint function according to Modifie Daobigne and Postal clinical classification criteria,8 patients got an excellent result,7 good and 2 fair. The excellent and good rate was 88.2%. Conclusion: Surgical treatment can have a satisfactory prognasis for patient with posterior femoral head and acetabulum.