髋臼骨折的创伤机制和临床分析

目的 探讨髋臼骨折的创伤机制、分类和治疗方法。方法 ６５例髋臼骨折患者，其中４４例采用骨牵引治疗，２１例采用手术内固定治疗。结果 经平均４．５年的随访，非手术治疗４４例满意率７５％，手术治疗２１例满意率７１．４％。１６例骨折移位〉３ｍｍ，经牵引后骨折移位〈３ｍｍ。７例骨折错位明显，因合并伤严重而放弃手术治疗，其结果均不满意。手术治疗２１例，术中发现１７例股骨有明显肉眼损伤。结论髋臼骨折的应力求解剖

Traumatic Mechanism and Clinical Analysis of Acetabular Fractures

Objective To study the traumatic mechanism,classfication and treatment of acetabular fractures Methods Of the 65 cases,44 were treated with skeletal traction and 21 were treated with internal fixation Results The mean period of follow up was 4 5 years For the 44 cases treated with non operation,the excellent and good rate was 75% For the 21 cases treated with operation,the excellent and good rate was 71 4% The displacement of 16 cases were reduced from more than 3 mm before traction to less than 3 mm after traction 7 cases of obvious transposition fractures which had not been operated upon because of severe complications had poor results During the operation,gross injuries in the femoral head could be seen in 17 cases Conclusion Anatomical reduction should be achieved in the treatment of acetabular fractures so as to restore the relationship between acetabulum and femoral head Functional exercises must be instituted early Surgery is mandatory for the displaced fractures The locality and severity of impact of femoral head and acetabulum will affect the prognosis