Kebaish A S, Roy A, Rennie W
Maisonneuve-Rosemont Hospital, Montreal, Canada.
J Trauma. 1991 Nov;31(11):1539-42.
From 1980 to 1987, 136 patients with displaced acetabular fractures were reviewed to compare the long-term results of operative versus nonoperative treatment. Of 90 patients followed up to 8 years (mean, 4 years, 9 months), 54 were treated operatively and 36 nonoperatively. Experience in pelvic trauma surgery was of significance both in choice of treatment and success in achieving optimum results. Assessment by a new acetabular fracture score showed that anatomic or near-anatomic restoration of the joint led to 86% excellent or good results compared with 30% good results for fractures remaining moderately or severely displaced.
1980年至1987年期间,对136例髋臼移位骨折患者进行了回顾性研究,以比较手术治疗与非手术治疗的长期效果。在随访8年(平均4年9个月)的90例患者中,54例接受了手术治疗,36例接受了非手术治疗。骨盆创伤手术经验在治疗选择和取得最佳效果方面均具有重要意义。一项新的髋臼骨折评分评估显示,关节解剖或接近解剖复位的患者中,86%的结果为优或良,而骨折仍有中度或重度移位的患者中,只有30%的结果为良。