髋关节后脱位并髋臼后壁（柱）骨折手术治疗结果分析

目的探讨髋臼后壁（柱）骨折伴髋关节脱位手术治疗的中远期疗效。方法回顾性分析21例髋关节脱位伴髋臼骨折患者临床资料，其中20例髋臼脱位行闭合复位，1例行急诊切开复位内固定；所有合并的髋臼骨折均采用开放复位内固定术治疗。结果完整随访19例，失访2例，随访时间29～86个月。按髋关节功能恢复情况评分：优13例，良3例，可2例，差1例，优良率84．2％。结论髋关节脱位伴髋臼骨折应尽早诊断，应尽快行髋关节复位，骨折应尽早开放复位内固定，早期功能锻炼，避免过早负重。

The mid- and long- term clinical outcomes of open reduction and internal fixation for dislocation of hip joint combined with posterior wall or/and column fractures of acetabulum

Objectives To investigate the mid- and long- term clinical outcomes of open reduction and internal fixation（ORIF） for treating the dislocation of hip joint with posterior wall or/and column fractures of acetabulum. Methods The clinic data of 21 patients with dislocation of hip joint and posterior wall fracture of acetabulum who were given close reduction（ n = 20）or open reduction and internal fixation （ORIF） （ n = 1 ） for disclocation of hip joint and then were treated with ORIF for the fracture of acetabulum were retrospectively analyzed. Results A total of 19 patients were followed up for 29 to 86 mon. According to Letournel E＇s hip joint functional scoring system, clinical outcome was excellent in 13 patients,good in 3 patients ,fair in 2 patients, and poor in one patient. The ratio of fineness of the mid- and long - term clinical outcomes was 84.2%. Conclusion The dislocation of hip joint combined with posterior wall fracture of acetabulum should be diagnosed early, and reduction of the hip joint and ORIF should be performed as soon as possible. The positive functional exercise is necessary and the premature weight bearing on the hip joint should be avoided at early time.