髋臼骨折治疗方法探讨

目的 探讨髋臼骨折的治疗方法及效果。方法 对2001年3月-2005年10月收治的31例髋臼骨折患者的临床资料进行回顾性分析。9例无明显移位的骨折予牵引等保守治疗，22例行切开复位、内固定术。结果 31例均获得随访，随访时间为6个月至5年，平均2年9个月。保守治疗9例，优3例，良5例，可1例，差0例，优良率88．9％。手术治疗22例，优11例。良8例，可3例，差0例，优良率86．4％。结论 对单纯无移位的骨折采用牵引治疗效果较好，但绝大部分髋臼骨折需手术治疗，术前影像学检查、明确手术指征、确定手术方案、把握手术时机，术中解剖复位、可靠的内固定及术后早期功能锻炼，对髋臼骨折患者术后的功能恢复极为重要。

Approach of treatment methods for acetabular fractures

Objective To discuss the treatment methods and results of acetabular fractures.Methods Clinical analysis was done on 31 cases of acetabular fractures treated from March 2001 to October 2005.Of all cases,9 were treated conservatively and 22 with operative management.Results All 31 cases were followed up from 6 months to 5 years(in average of 2 years and 9 months).Of 9 cases treated conservatively,the treatment results were excellent in 3,good in 5,fair in 1 and poor in 0,with an excellence rate of 88.9%.Among 22 cases with operative treatment,11 were excellent,8 were good,3 were fair and failed in 0,with an excellence rate of 86.4%.Conclusions Imageology checking,identify operative indication,definition operative program,timely surgery,anatomy reposition,reliable internal fixation,and postoperative functional exercise are keys to improve the treatment results of the acetabular fractures.