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髋臼骨折的长期预后及晚期并发症

Long-term outcome and late complications of acetabular fracture.

作者信息

Schlickewei W, Kuner E H, Elsässer B

机构信息

Abteilung für Unfallchirurgie, Chirurgische Universitätsklinik Freiburg, Germany.

出版信息

Orthopade. 1997 Apr;26(4):375-383. doi: 10.1007/PL00003394.

DOI:10.1007/PL00003394
PMID:28246792
Abstract

The long-term functional results of acetabular fractures are assessed in terms of the corresponding criteria of Merle-D'Aubigné and Postel (pain, mobility, walking). Other essential criteria include the quality of reduction and the radiological appearance.The age of the patient, the type of fracture and, above all, the interval between the accident and the surgical treatment or reduction of the fracture must be counted among the decisive factors which influence the late effects of this injury. Whether or not reduction can correctly center the femoral head in the socket is of paramount importance, but postoperative infection or the development of a hematoma may also critically affect outcome. In addition to a report on the long-term results achieved at the Trauma Department of the University Hospital of Freiburg, Germany, the literature on the late complications of acetabular fracture is also reviewed.

摘要

根据Merle-D'Aubigné和Postel的相应标准(疼痛、活动度、行走能力)对髋臼骨折的长期功能结果进行评估。其他重要标准包括复位质量和影像学表现。患者年龄、骨折类型,尤其是事故与骨折手术治疗或复位之间的间隔时间,必须被视为影响该损伤后期效果的决定性因素。骨折复位能否使股骨头正确归位于髋臼窝中至关重要,但术后感染或血肿形成也可能严重影响预后。除了报告德国弗莱堡大学医院创伤科取得的长期结果外,还对髋臼骨折晚期并发症的文献进行了综述。

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Long-term outcome and late complications of acetabular fracture.髋臼骨折的长期预后及晚期并发症
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