目的:回顾性分析高能量髋臼骨折的手术效果.方法:根据72例高能量髋臼骨折分型,采用合适的手术人路、复位骨折并内固定.结果:全部顺利完成手术,64例获得随访,依Matta等标准:解剖复位46例,满意复位12例.复位不良6例,满意复位率为90.63%.参照 Ceunnar A 髋关节功能评分标准,优41例,良16例,可4例,差3例;优良率为89.06%.6例出现异位骨化,3例发生股骨头缺血坏死.结论:手术治疗高能量复杂髋臼骨折,术前认真阅读影像资料、选择合适的人路和固定方法,术后早期功能锻炼可取得较好的临床效果.%Objective: To analyze the effect on the operation of high-energy acetabulum fractures. Methods: According to 72 cases with the types of high-energy acetabulum fracture, appropriate surgical was adopted to approach the complex fracture and made an intemal fixation. Results: All operation completed successfully, 64 cases were obtained for follow-up,in accordance with standard: 46 cases with anatomical restoration, 12 cases in satisfaction restoration, 6 cases with reset bad, satisfied reset rate was 90.63％. Reference Ceunnar A hip function evaluation criterion, 41 cases were optimal, 16 cases were good, 4 cases less good, 3 cases was poor, good rate was 89.06％. 6 cases with heterotopic ossification, 3 cases with femoral head ischemic necrosis. Conclusion: Surgical to treatment high-energy complex acetabulum fractures with carefully read image data before operation, appropriate approaches and fixation method. .Patients sh o uldimake a early function exercise in order to acquire the better clinical effects.
展开▼
