Beebe Michael J, Bauer Jennifer M, Mir Hassan R
Orthopaedic Trauma Service, Florida Orthopaedic Institute, 5 Tampa General Circle, Suite 710, Tampa, FL 33602, USA.
Orthopaedic Surgery and Rehabilitation, Vanderbilt University, 1215 21st Avenue South, South Tower, Suite 4200, Nashville, TN 37232, USA.
Orthop Clin North Am. 2016 Jul;47(3):527-49. doi: 10.1016/j.ocl.2016.02.002. Epub 2016 Apr 22.
Hip dislocations, most often caused by motor vehicle accidents or similar high-energy trauma, traverse a large subset of distinct injury patterns. Understanding these patterns and their associated injuries allows surgeons to provide optimal care for these patients both in the early and late postinjury periods. Nonoperative care requires surgeons to understand the indications. Surgical care requires the surgeon to understand the benefits and limitations of several surgical approaches. This article presents the current understanding of hip dislocation treatment, focusing on anatomy, injury classifications, nonoperative and operative management, and postinjury care.
髋关节脱位最常见于机动车事故或类似的高能量创伤,呈现出多种不同的损伤模式。了解这些模式及其相关损伤,有助于外科医生在伤后早期和晚期为这些患者提供最佳治疗。非手术治疗要求外科医生了解其适应证。手术治疗则要求外科医生了解几种手术方法的利弊。本文介绍了目前对髋关节脱位治疗的认识,重点在于解剖结构、损伤分类、非手术和手术治疗以及伤后护理。