[髋臼骨折延迟的手术治疗]
[Operative treatment of delayed acetabular fractures].
作者信息
Wang Man-yi, Wu Xin-bao, Zhu Shi-wen, Cao Qi-yong, Wu Hong-hua, Rong Guo-wei
机构信息
Department of Traumatology and Orthopaedics, Jishuitan Hospital, Beijing 100035, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2003 Feb;41(2):130-3.
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.
目的
评估陈旧性髋臼骨折的手术方法及手术效果。
方法
回顾性分析1993年8月至2001年8月积水潭医院收治的陈旧性髋臼骨折患者的手术入路、手术步骤、手术效果及并发症。
结果
32例患者平均随访49.6个月。1例出现坐骨神经麻痹。髋关节功能优3例，良16例，可10例，差3例。6例出现异位骨化，3例出现股骨头坏死。
结论
仔细选择陈旧性髋臼骨折的手术适应证，结合合适的手术入路、恰当的复位与固定，可取得良好效果。
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