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[髋臼骨折的手术与保守治疗——适应症及结果]

[Surgical and conservative therapy of fractures of the acetabulum--indications and results].

作者信息

Kuntz M, Fux H D

出版信息

Unfallchirurgie. 1985 Apr;11(2):84-8. doi: 10.1007/BF02587936.

DOI:10.1007/BF02587936
PMID:4002425
Abstract

Between 1975 and 1983 38 patients with a fracture of the acetabulum were treated - 28 patients were operated upon, 10 patients were treated conservatively. 26 in 28 patients treated operatively and 8 in 10 patients treated conservatively could be checked up. 3 of the cases treated operatively could not be evaluated, as the operation had been realized less than two years before. Following an accurate indication for the operative treatment 14 in 23 patients proved an efficient osteosynthesis. In 5 in 8 cases treated conservatively good results were obtained. In aged patients and in certain types of fractures of the acetabulum, especially in comminuted fractures, conservative treatment is still justified.

摘要

1975年至1983年间,对38例髋臼骨折患者进行了治疗,其中28例接受了手术治疗,10例接受了保守治疗。28例接受手术治疗的患者中有26例、10例接受保守治疗的患者中有8例接受了检查。3例接受手术治疗的病例因手术在不到两年前进行而无法评估。在严格掌握手术治疗指征后,23例患者中有14例实现了有效的骨合成。8例接受保守治疗的患者中有5例取得了良好效果。对于老年患者以及某些类型的髋臼骨折,尤其是粉碎性骨折,保守治疗仍然是合理的。

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引用本文的文献

1
[Acetabular fractures--surgical versus conservative treatment].[髋臼骨折——手术治疗与保守治疗]
Unfallchirurgie. 1990 Oct;16(5):230-5. doi: 10.1007/BF02589875.
2
[Incidence of acetabular fractures before and after introduction of compulsory seatbelt fastening].
Unfallchirurgie. 1991 Oct;17(5):274-9. doi: 10.1007/BF02588406.

本文引用的文献

1
FRACTURES OF THE ACETABULUM: CLASSIFICATION AND SURGICAL APPROACHES FOR OPEN REDUCTION. PRELIMINARY REPORT.髋臼骨折:切开复位的分类及手术入路。初步报告。
J Bone Joint Surg Am. 1964 Dec;46:1615-46.
2
[Computed tomography of hip dislocation fractures].
Unfallheilkunde. 1983 Apr;86(4):166-9.
3
[Results after conservative and surgical therapy of acetabular fractures].髋臼骨折保守治疗与手术治疗的结果
Hefte Unfallheilkd. 1979(140):166-80.
4
[Results of the surgical treatment of acetabular fractures].[髋臼骨折的手术治疗结果]
Hefte Unfallheilkd. 1979(140):161-5.
5
[Results of the surgical reconstruction of dislocated acetabular fractures (the collective statistics of the International Work Shop Group for Problems of Osteosynthesis, the German section)].髋臼骨折脱位手术重建的结果(国际骨接合问题工作坊小组德国分部的综合统计数据)
Hefte Unfallheilkd. 1979(140):154-60.
6
[Surgical treatment of acetabular fractures].
Hefte Unfallheilkd. 1979(140):105-21.