| 复杂髋臼骨折中远期疗效分析 |
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Received:November 25, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 雷贵富 |
LEI Gui-fu |
浙江省荣军医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, Rehabilitation Hospital for Glory Soldiers of Zhejiang Province, Jiaxing 314000, Zhejiang, China |
sdh430@163.com |
| 徐阿炳 |
XU A-bing |
武警浙江省总队医院骨四科, 浙江 嘉兴 314000 |
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| 班吉鹤 |
BAN Ji-he |
武警浙江省总队医院骨四科, 浙江 嘉兴 314000 |
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| 石钢 |
SHI Gang |
浙江省荣军医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, Rehabilitation Hospital for Glory Soldiers of Zhejiang Province, Jiaxing 314000, Zhejiang, China |
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| 方铭 |
FANG Ming |
浙江省荣军医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, Rehabilitation Hospital for Glory Soldiers of Zhejiang Province, Jiaxing 314000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年26卷，第6期，第505-507页 |
| DOI：10.3969/j.issn.1003-0034.2013.06.015 |
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目的: 探讨复杂髋臼骨折手术治疗的疗效。
方法: 自2005年1月至2010年12月,对31例复杂髋臼骨折患者进行手术治疗,其中男21例,女10例;年龄31～57岁,平均38.6岁。对其X线、CT、手术方案及疗效进行回顾性分析,采用美国矫形外科学会评价标准对髋关节功能进行评价。
结果: 31例患者获得随访,时间12～36个月,平均17.6个月。无感染及术中血管神经损伤,1例因股骨头坏死行全髋关节置换术。根据影像学评价,解剖复位17例,复位满意12例,复位不满意2例。根据美国矫形外科学会评价标准,优18例,良9例,可3例,差1例。
结论: 复杂髋臼骨折合并症多,术后易发生并发症,准确复位、可靠内固定可提高疗效,最大限度恢良髋关节功能。 |
| [关键词]:髋臼 骨折 外科手术 骨折固定术,内 |
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| Mid-long-term curative effect analysis of complex acetabular fracture |
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Abstract:
Objective: To discuss clinical effects of complex acetabular fracture.
Methods: From January 2005 to December 2010,totally 31 patients with complex acetabular fracture received surgery. There were 21 males and 10 females with an average age of 38.6 years old(ranged,31 to 57). X-ray,CT,operation scheme and clinical efficiacy were retrospectively analyzed. American Academy of Orthopaedic Surgery standard was used to evaluate hip joint function.
Results: All patients were followed up from 12 to 36 months with an average of 17.6 months. No complications and neurovascular injury occurred. One case received total hip replacement arthroplasty. There were 17 cases obtained anatomical reduction,12 cases got satisfied reduction and 2 cases not satisfied. According to American Academy of Orthopaedic Surgery standard,18 cases got excellent result,good in 9 cases,fair in 3 cases and poor in 1 case.
Conclusion: Complex acetabular fracture combine with lots of complications and easily had occurre postoperative complications. It can improve curative effect by accurate reduction and reliable fixation and maximize restoring function of hip joint. |
| KEYWORDS:Acetabulum Fractures Surgical procedures,operative Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 雷贵富,徐阿炳,班吉鹤,石钢,方铭.复杂髋臼骨折中远期疗效分析[J].中国骨伤,2013,26(6):505~507 |
| 英文格式: | LEI Gui-fu,XU A-bing,BAN Ji-he,SHI Gang,FANG Ming.Mid-long-term curative effect analysis of complex acetabular fracture[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(6):505~507 |
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