移位髋臼骨折的手术治疗结果
Outcome of Surgical Treatment for Displaced Acetabular Fractures.
作者信息
Anizar-Faizi A, Hisam A, Sudhagar K P, Moganadass M, Suresh C
机构信息
Department of Orthopedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Department of Orthopedics and Traumatology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.
出版信息
Malays Orthop J. 2014 Nov;8(3):1-6. doi: 10.5704/MOJ.1411.001.
The aim of this study was to assess the outcome of surgical treatment in displaced acetabular fractures in our local facilities. Previous studies reveal good outcome via open reduction method with achievement of congruent joint. We note that studies in this respect have not been conducted in our region. We retrospectively analyzed thirty patients with acetabular fractures who underwent open reduction and internal fixation. The data collection was performed over a 4-year period, from 2008 to 2011. The results showed 20 out of 30 patients (66.7%) had excellent/good results (Harris Hip Score equal or more than 80). Post operative complications were deep infection (6.7%), iatrogenic sciatic nerve injury (10.0%), avascular necrosis (16.7%), heterotopic ossificans (3.3%), degenerative changes in hip joint (43.3%) and loss of reduction (3.3%). In conclusion, surgical treatment of displaced acetabular fractures produces good functional outcome despite the complications.
本研究的目的是评估在我们当地医疗机构中移位髋臼骨折的手术治疗结果。既往研究表明，通过切开复位方法实现关节匹配可获得良好的治疗效果。我们注意到，在我们这个地区尚未开展过这方面的研究。我们回顾性分析了30例接受切开复位内固定术的髋臼骨折患者。数据收集时间为2008年至2011年的4年期间。结果显示，30例患者中有20例（66.7%）获得了优/良结果（Harris髋关节评分等于或高于80分）。术后并发症包括深部感染（6.7%）、医源性坐骨神经损伤（10.0%）、缺血性坏死（16.7%）、异位骨化（3.3%）、髋关节退变（43.3%）以及复位丢失（3.3%）。总之，尽管存在并发症，但移位髋臼骨折的手术治疗仍能产生良好的功能结果。
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