髋臼骨折的手术治疗

目的探讨不同手术入路及方法治疗髋臼骨折的疗效。方法手术治疗43例髋臼骨折,根据不同骨折类型采用不同的手术入路,重建钢板及拉力螺钉内固定。结果43例均获随访,时间4-48个月,根据Matta髋臼骨折复位标准：解剖复位35例,满意复位5例,不满意复位3例。髋关节功能按美国骨科学会（AAOS）评分系统进行评估：优29例,良8例,可3例,差3例。结论正确选择手术入路、良好的复位、稳固的内固定、早期功能锻炼是髋臼骨折手术成功的关键。

Operative treatment of acetabular fractures

Objective To evaluate the efficacy of different operative approaches and managements of the acetabular fractures.Methods Forty-three patients with acetabular fractures were managed surgically.The different operative approaches and the treatments were chosen according to the different types of the acetabular fractures by the internal fixation with the reconstruction plates or the screws.Results 43 cases were followed up for 4~48 months.According to the reduction grade of Matta and clinical evaluation criteria of AAOS score,complete anatomic reduction was obtained in 35 cases,satisfactory reduction in 5 cases,and incomplete reduction in 3 cases.29 got excellent function recovery,8 good,3 fair,and 3 poor.Conclusions The correct choice of operational approach,complete reduction,stable internal fixation and early functional exercise are important to the recovery of acetabular fractures.