开放复位内固定治疗髋臼骨折

目的：探索髋臼骨折的有效治疗方法。方法：本组收治42例，男31例，女11例。平均年龄46．4岁。非手术治疗6例，手术复位内固定34例，全髋关节置换术2例。结果：39例平均随访30．1个月，优31例，良2例，可3例，差3例，优良率84．6％。讨论：髋臼骨折的保守治疗与手术治疗互补而非对立,理想的手术时机为损伤后2－10d。重建钢板技术是较好的治疗方法，螺钉的植入方向是其技术关键。髋臼骨折的预后与骨折类型、损伤程度、复位程度密切相关。

Acetabular Fracture Treated with Open Reduction and Internal Fixatiion

Objective:To find out satisfying methods for acetabular fracture treatment.Methods:42 cases of acetabular fracture were treated.31 cases of them were male and 11 female,averaging 46.4 years.6/42 cases were treated conservatively,while 34/42 with operative reduction and internal fixation,2/42 with total hip replacement.Results:39/42 cases were followed-up averaging 30.1 months.31/39 were excellent,2/39 good,3/39 fair,3/39 poor.Discussion:Conservative and surgical treatments are two complementary choices.Optimal time for surgery is 2 to 10 days after injury.Reconstruction plates technique may be the best method of internal fixation of the acetabular fracture.The type and severity of the acetabular injury are the most important factors of prognosis.The result of reduction is another most important factor.