Fenzl G, Fischer G, Galle P
II. Universitätsklinik für Unfallchirurgie Wien, Osterreich.
Unfallchirurgie. 1990 Oct;16(5):230-5. doi: 10.1007/BF02589875.
In this paper the results of operative and conservative intervention of acetabulum fractures are analysed. It was possible to re-examine 80 of 146 Patients after a period of 5.46 years in mean. 23 patients were treated by osteosynthesis. Time from accident to operation was 13 days in mean. Posterior wall fractures seemed to be the most frequent (classified by Letournel). Results were evaluated according to the following criteria: clinical status (classified by the scheme of Merle d'Aubigne), X-ray, and subjective well-being. In the surgically treated group total hip prosthesis had to be implanted in five patients because of aseptic necrosis of the femoral head, 52.9% of the patients in this group had good results. In the conservative treated cases no total hip prosthesis had to be implanted. 77.8% of the patients had good results. A main aspect is that the average age of the patients who underwent a treatment by osteosynthesis is lower although the fractures were more severe.
本文分析了髋臼骨折手术及保守治疗的结果。平均5.46年后，对146例患者中的80例进行了复查。23例患者接受了骨固定术治疗。受伤至手术的平均时间为13天。后壁骨折似乎最为常见（根据勒图尔内分类法）。根据以下标准评估结果：临床状况（根据梅勒·德奥比涅方案分类）、X线检查和主观幸福感。在手术治疗组中，由于股骨头无菌性坏死，5例患者不得不植入全髋关节假体，该组52.9%的患者取得了良好效果。在保守治疗的病例中，无需植入全髋关节假体。77.8%的患者取得了良好效果。一个主要方面是，接受骨固定术治疗的患者平均年龄较低，尽管骨折更为严重。
