| 切开复位内固定治疗有移位髋臼骨折的疗效分析 |
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投稿时间：2002-08-26
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| 期刊信息：《中国骨伤》2003年，第16卷，第7期，第387-389页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:观察切开复位内固定治疗有移位髋臼骨折的远期疗效,并分析影响远期疗效的相关因素。
方法:本组按LetournelJudet分型简单骨折23例,复杂骨折31例,骨折移位≥3mm,合并髋关节后脱位16例,中心性脱位13例,股骨头软骨面损伤17例。均采用切开复位钢板螺钉内固定,其中伤后2周内手术42例,3周后手术12例。
结果 术后平均随访38个月,Matta关节评分>15分、Liebergall影像学评价A、B的病例43例,优良率79.6%,3年后全髋置换5例,占9.3%。
结论:切开复位内固定能使髋臼恢复正常解剖形态,有利于关节功能的恢复,远期疗效较好;LetournelJudet骨折分型、股骨头软骨面是否损伤、骨折后手术时间以及复位质量是主要影响因素,提示髋臼创伤骨折的严重程度直接影响其预后。 |
| 【关键词】髋骨折 髋臼 骨折固定术,内 功能恢复 |
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| Analysis of clinical outcome in open reduction and internal fixation for displaced acetabular fracture |
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ABSTRACT
Objective:To evaluate the long-term Results of open reduction and internal fixation for the treatment of acetabular fracture,and discuss the factors which influence the long-term Results
Methods:According to Letournel-Judet classification,23 cases were simple fractures,and 31 cases complex fractures.All fractures displaced more than 3 mm.16 cases were combined with posterior hip dislocation,13 cases with central hip dislocation,and 17 cases with femoral head damage.All the cases were treated with open reduction and internal fixation.42 cases were operated within 2 weeks,12 cases were operated after 3 weeks of trauma.
Results:All cases were followed up with an average of 38 months,with Mattas joint function evaluation system and Libergall radiography evaluation system.The percent of successful outcomes was 79.6%.5 cases (9.3%) were treated with total hip replacement after 3 years.
Conclusion:Open reduction and internal fixation can result in a satisfactory clinical outcome.Four factors were found to influence the clinical outcome:Type of fractures(according to Letournel-Judet classification),cartilage damage of the femoral head,quality of reduction and operation time after trauma,which implies that traumatic degree of the acetabulum directly influences the prognosis. |
| KEY WORDS Hip fracture Acetabulum Fracture fixation,internal Habilitation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘晓岚,周江南.切开复位内固定治疗有移位髋臼骨折的疗效分析[J].中国骨伤,2003,16(7):387~389 |
| 英文格式: | LIU Xiaolan,ZHOU Jiangnan.Analysis of clinical outcome in open reduction and internal fixation for displaced acetabular fracture[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(7):387~389 |
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