髋关节后脱位合并股骨头骨折的治疗
摘要点击次数: 1852   全文下载次数: 1217   投稿时间:2004-03-24    
作者Author单位AddressE-Mail
张建政 ZHANG Jian-zheng 北京军区总医院骨科, 北京100700 Beijing Army General Hospital  
李亚非 LI Ya-fei 北京军区总医院骨科, 北京100700 Beijing Army General Hospital  
刘树清 LIU Shu-qing 北京军区总医院骨科, 北京100700 Beijing Army General Hospital  
张立仁 ZHANG Li-ren 北京军区总医院骨科, 北京100700 Beijing Army General Hospital  
郭永智 GUO Yong-zhi 北京军区总医院骨科, 北京100700 Beijing Army General Hospital  
王瑜 WANG Yu 北京军区总医院骨科, 北京100700 Beijing Army General Hospital  
期刊信息:《中国骨伤》2004年,第17卷,第11期,第671-673页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:探讨髋关节后脱位合并股骨头骨折的治疗方法。

方法:自1996年-2002年共收治25例,18例资料完整,根据Pipkin分型,Ⅰ型4例,Ⅱ型5例,Ⅲ型2例,Ⅳ型7例。根据骨折分型和治疗时间以及患者年龄,决定治疗方案。

结果:按照Epstein评分标准,Ⅰ型:优3例,良1例;Ⅱ型:优1例,良2例,可1例,差1例;Ⅲ型:2例全髋关节置换术后分别2年和5年,行走无痛,关节活动范围正常,假体无松动。Ⅳ型:良4例,可1例,差2例。

结论:髋关节后脱位合并股骨头骨折的治疗方法应根据骨折类型,骨折时间,患者年龄等确定。
【关键词】髋脱位  股骨头  骨折
 
Treatment of posterior hip dislocation combined with fractures of the femoral head
ABSTRACT  

Objective:To explore the treatment method of posterior hip dislocation combined with fractures of the femoral head.

Methods:From 1996 to 2002,eighteen of the twenty-five patients with the fractures of femoral head were followed up completely.Classification was based on Pipkins criteria,type Ⅰ four,type Ⅱ five,type Ⅲ two,type Ⅳ seven.Various procedures were taken according to classification and age of each patient.

Results:Eighteen patients were followed-up from one to seven years.In typer Ⅰ,three were rated as excellent and one good by Epsteins criteria.In type Ⅱ,one excellent,one good,one fair and one poor.In type Ⅲ,two excellent.In type Ⅳ,four good,one fair and two poor.

Conclusion:The result is directly related with severity of the trauma and choice of treatment method.
KEY WORDS  Hip dislocation  Femur head  Fractures
 
引用本文,请按以下格式著录参考文献:
中文格式:张建政,李亚非,刘树清,张立仁,郭永智,王瑜.髋关节后脱位合并股骨头骨折的治疗[J].中国骨伤,2004,17(11):671~673
英文格式:ZHANG Jian-zheng,LI Ya-fei,LIU Shu-qing,ZHANG Li-ren,GUO Yong-zhi,WANG Yu.Treatment of posterior hip dislocation combined with fractures of the femoral head[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(11):671~673
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