Jungbluth K H, Sauer H D
Chirurg. 1977 Dec;48(12):786-92.
Following operative reconstruction in 11 German clinics working together on questions concerning osteosynthesis, 190 fractures of the hip socket were examined. The total results of all fracture types showed, with 60% very good to good, 15% satisfactory and 25% poor results, clear improvement as compared with purely conservative therapy. Practically two-thirds of the unsatisfactory results were due to traumatic injury followed by necrosis of the ball of the femoral head. Additional improvement of the results is possible by refined operative techniques, broader differentiation of the indications, and especially by a shortening of the interval between the time of accident and the osteosynthesis of the acetabulum.
在11家共同研究接骨术相关问题的德国诊所进行手术重建后,对190例髋臼骨折进行了检查。所有骨折类型的总体结果显示,60%为非常好至良好,15%为满意,25%为差,与单纯保守治疗相比有明显改善。几乎三分之二的不满意结果是由于创伤性损伤继而导致股骨头坏死。通过改进手术技术、更广泛地划分适应症,尤其是缩短事故发生时间与髋臼接骨术之间的间隔,可以进一步改善结果。