| 髋臼骨折的创伤机制和临床分析 |
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Received:September 21, 1998
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| 期刊信息：《中国骨伤》2000年13卷，第4期，第201-203页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨髋臼骨折的创伤机制、分类和治疗方法。
方法：65例髋臼骨折患者,其中44例采用骨牵引治疗,21例采用手术内固定治疗。
结果：经平均45年的随访,非手术治疗44例满意率75%,手术治疗21例满意率714%.16例骨折移位>3mm,经牵引后骨折移位<3mm.7例骨折错位明显,因合并伤严重而放弃手术治疗,其结果均为不满意。手术治疗21例,术中发现17例股骨头有明显的肉眼损伤。
结论：髋臼骨折应力求解剖复位,恢复头臼对应关系,并早期功能锻炼,对错位明显的骨折采用手术治疗是必要的。创伤时头臼撞击部位及程度可直接影响预后效果。 |
| [关键词]:骨折 髋臼 骨折固定术 内 牵引术 |
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| Traumatic Mechanism and Clinical Analysis of Acetabular Fractures |
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Abstract:
Objective:To study the traumatic mechanism,classfication and treatment of acetabular fractures
Methods:Of the 65 cases,44 were treated with skeletal traction and 21 were treated with internal fixation
Results:The mean period of follow up was 4 5 years For the 44 cases treated with non operation,the excellent and good rate was 75% For the 21 cases treated with operation,the excellent and good rate was 71 4% The displacement of 16 cases were reduced from more than 3 mm before traction to less than 3 mm after traction 7 cases of obvious transposition fractures which had not been operated upon because of severe complications had poor results During the operation,gross injuries in the femoral head could be seen in 17 cases
Conclusion s:Anatomical reduction should be achieved in the treatment of acetabular fractures so as to restore the relationship between acetabulum and femoral head Functional exercises must be instituted early Surgery is mandatory for the displaced fractures The locality and severity of impact of femoral head and acetabulum will affect the prognosis |
| KEYWORDS:Fractures acetabulum Fracture fixation internal Traction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张维康,蔡钰梅,颜海波.髋臼骨折的创伤机制和临床分析[J].中国骨伤,2000,13(4):201~203 |
| 英文格式: | ZHANG Wei kang,CAI Yu mei,YAN Hai bo Wenling.Traumatic Mechanism and Clinical Analysis of Acetabular Fractures[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(4):201~203 |
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