Briffa N, Pearce R, Hill A M, Bircher M
Department of Trauma and Orthopaedics, St George's Hospital, Blackshaw Road, London SW17 0QT, UK.
J Bone Joint Surg Br. 2011 Feb;93(2):229-36. doi: 10.1302/0301-620X.93B2.24056.
We report the outcome of 161 of 257 surgically fixed acetabular fractures. The operations were undertaken between 1989 and 1998 and the patients were followed for a minimum of ten years. Anthropometric data, fracture pattern, time to surgery, associated injuries, surgical approach, complications and outcome were recorded. Modified Merle D'Aubigné score and Matta radiological scoring systems were used as outcome measures. We observed simple fractures in 108 patients (42%) and associated fractures in 149 (58%). The result was excellent in 75 patients (47%), good in 41 (25%), fair in 12 (7%) and poor in 33 (20%). Poor prognostic factors included increasing age, delay to surgery, quality of reduction and some fracture patterns. Complications were common in the medium- to long-term and functional outcome was variable. The gold-standard treatment for displaced acetabular fractures remains open reduction and internal fixation performed in dedicated units by specialist surgeons as soon as possible.
我们报告了257例接受手术固定的髋臼骨折患者中161例的治疗结果。手术于1989年至1998年间进行，对患者进行了至少十年的随访。记录了人体测量数据、骨折类型、手术时间、合并伤、手术入路、并发症及治疗结果。采用改良Merle D'Aubigné评分和Matta放射学评分系统作为评估指标。我们观察到108例患者（42%）为单纯骨折，149例（58%）为合并骨折。结果为优的有75例患者（47%），良的有41例（25%），可的有12例（7%），差的有33例（20%）。预后不良因素包括年龄增长、手术延迟、复位质量以及某些骨折类型。中远期并发症常见，功能结果各异。对于移位髋臼骨折的金标准治疗仍然是由专科外科医生在专门的科室尽快进行切开复位内固定。
