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髋关节后脱位合并股骨头骨折的治疗

Hits: 1866 Download times: 1230 Received:March 24, 2004

作者	Author	单位	Unit	E-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17卷，第11期，第671-673页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

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.

KEYWORDS: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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