Aho A J, Isberg U K, Katevuo V K
Acta Orthop Scand. 1986 Apr;57(2):101-5. doi: 10.3109/17453678609000878.
Thirty-eight patients with a fracture of the posterior wall of the acetabulum were reviewed after 5 (2-12) years. Of 18 patients with successful manual reduction of a femoral head dislocation, a small fracture fragment, no sciatic nerve injury and who were not operated on, 17 had a good result. Of 20 patients who were operated on either because of the large size of the fracture fragment or because of a persistent dislocation of the femoral head, 6 had a poor result due to femoral head necrosis. In these 6 patients the reduction had been delayed and the acetabular osteochondral lesion was more severe than in the other patients. Skeletal traction seems unnecessary in the treatment of acetabular posterior wall fracture.
对38例髋臼后壁骨折患者进行了随访，随访时间为5（2 - 12）年。18例成功手法复位股骨头脱位、骨折块小、无坐骨神经损伤且未接受手术治疗的患者中，17例效果良好。20例因骨折块大或股骨头持续脱位而接受手术治疗的患者中，6例因股骨头坏死效果不佳。在这6例患者中，复位延迟，髋臼骨软骨损伤比其他患者更严重。髋臼后壁骨折的治疗似乎无需进行骨牵引。
