陈旧性髋臼骨折的手术治疗

目的：探讨陈旧性髋臼骨折手术治疗的方法并评价术后疗效。方法：对1993年8月-2001年8月手术治疗的陈旧性髋臼骨折32例的手术入路、手术方法、功能结果及并发症进行回顾性分析。结果：平均随访时间49.6个月。髋关节功能评分优3例,良16例,中10例,差3例,优良率为59.4％。术后出现坐骨神经损伤1例,出现异位骨化6例,股骨头坏死3例。结论：陈旧性髋臼骨折的治疗要慎重选择手术指征,经恰当的手术入路,正确的复位固定方法,可以获得相对满意的结果。

Operative treatment of delayed acetabular fractures

Objective To assess the operative methods of delayed acetabular fractures and the operative results. Methods The operative approaches, procedures, results and complications of the delayed acetabular fractures between August 1993 and August 2001 in Jishuitan Hospital were evaluated retrospectively. Results Thirty two patients were followed up 49.6 months on average. Sciatic nerve palsy was found in 1 patient. Excellent functional results of hip joints were found in 3 patients, good in 16 , fair in 10, and poor in 3. Ectopic bone formation was observed in 6 patients and necrosis of the femoral head in 3. Conclusion Careful selection of operative indications of delayed acetabular fractures in combination with proper operative approach and appropriate reduction and fixation, good results can be obtained.