髋臼骨折的手术治疗：病例系列
Surgical management of acetabular fractures: a case series.
作者信息
Rahimi Hassan, Gharahdaghi Mohammad, Parsa Ali, Assadian Maryam
机构信息
Department of Orthopedic Surgery, Mashad University of Medical Sciences, Mashad, IR Iran.
Department of Orthopedic Surgery, Zahedan University of Medical Sciences, Zahedan, IR Iran.
出版信息
Trauma Mon. 2013 Spring;18(1):28-31. doi: 10.5812/traumamon.7164. Epub 2013 May 26.
INTRODUCTION
For decades, acetabular fractures were treated conservatively. Judet et al. in 1960s established the operative treatment of these fractures by continuous improvement of pre-operative evaluation and classification of fractures. Several studies demonstrated that accurate fracture reduction decreases the incidence of post-traumatic arthritis and improves functional outcome.
CASE SERIES
We report 67 consecutive patients who underwent surgical treatment for acetabular fracture; 44 patients were available for follow-up. In 35 (79.5%) cases, congruent reductions were achieved. The final mean Harris hip score was 81.8 (53-95). Functional outcomes according to Harris score were excellent and good in 31 patients (70.5%).
CONCLUSIONS
The results of internal fixation of displaced acetabular fractures in our series were satisfactory.
引言
几十年来，髋臼骨折一直采用保守治疗。20世纪60年代，朱代等人通过不断改进骨折的术前评估和分类，确立了这些骨折的手术治疗方法。多项研究表明，精确的骨折复位可降低创伤后关节炎的发生率，并改善功能预后。
病例系列
我们报告了67例连续接受髋臼骨折手术治疗的患者；44例患者可供随访。在35例（79.5%）病例中，实现了解剖复位。最终平均Harris髋关节评分为81.8（53 - 95）。根据Harris评分，31例患者（70.5%）的功能预后为优或良。
结论
我们系列中移位髋臼骨折内固定的结果令人满意。
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