髋臼后壁骨折并髋关节脱位手术治疗的疗效分析

目的探讨髋臼后壁骨折合并股骨头后脱位的手术治疗方法及影响预后的因素。方法本组25例患者，伤后均急诊行手法复位．多数在伤后5～7天应用Kocher—langenback切口行手术治疗，髋臼后壁骨折复位后，应用螺丝钉或加钢板内固定，必要时植骨。结果全部患者均随诊6～36个月．根据相关资料评定：X线评定结果优19例、良4例、可2例，优良率：92％。临床功能评定优13例、良8例、可3例，差1例，优良率：84％。结论髋臼后壁骨折并关节脱位解剖复位及手术内固定可提高此类损伤疗效和减少并发症发生。

Analysis in the treatment of dislocation of hip joint associated with acetabulum posterior wall facture

Objective To investigate the operative method and the factors of influenced prognosis for dislocation of hip joint asociated with acetabulum posterior wall fracture. Methods The cmergency manual reduction was performed in 25 cases after trauma.In the most of patients,the operative treatment was performed with Kocher-Langenback incision 5th to 7th day after trauma.After acetabular posterior wall fracture was reduced, internal fixation with screw or plus plate was used and bone grafting was performed if it was necessary. Results All cases were followed-up for 6 to 36 months.According to related data evaluation, the X ray evaluated results were excellent, good and fair in 19, 4 and 2 cases respectively. The excellent and good rate were 92% .Clinical functional evaluations were excellent, good,fair and poor in 13,8, 3cases and 1 case respectively, The excellent and good rate were 84%. Conclusion The anatomical reduction and internal fixation would improve therapeutic efficacy and reduce the occurrence of complications for the treatment of the acetabular posterior wall fracture asscialed with dislocation of hip joint.