手术治疗复杂髋臼骨折的体会

目的探索治疗复杂髋臼骨折的方法以提高疗效.方法 2000年1月-2003年11月我院共收治复杂髋臼骨折28例,按不同类型分别用重建钢板、螺丝钉子以内固定治疗.随访1-5年,平均3年.结果术后骨折（复位按Judet等人方法评估）达解剖复位者24例,满意复位者3例,不满意复位者1例.按Harris评分评估髋关节功能：优21例,良4例,可2例,差1例,其中深部感染1例,发生异位骨化者4例.结论手术治疗复杂髋臼骨折是有效可靠的方法.

The treatment of combined acetabular fracture

Objective To explor the method of treating the combined acetabular fracture.Methods Between January 2000 and November 2001,a total of 28 acetabular fractures were treated surgically(mainly combined fractures).Which were surgically fixed with restructing plate and screw according the type of fracture,the average follow-up was 36 months.Results The postoperative reduction(according Judet's method) was graded as excellent in 96% and imperfect in 4% of the patients.The hips were evaluated functionally according to the harris score and rated as excellent in 21 patients(78%),good in 4 patients(14%),fair in 2 patients(7%) and poor in 1 patients(4%).There were 1 deep infections and 4 heterotopic ossifications.Conclusion Our results support the idea that open reduction was a good method to treat the acetabular fracture.