摘要
目的分析总结股骨骨折合并同侧髋臼骨折股骨头脱位的治疗方法、效果及漏诊的教训。方法股骨骨折按AO分型,32-A型3例,32-B型2例,32-C2型1例,用交锁钉内固定;33-C3型1例,用股骨髁支持钢板内固定;31-A2型2例,用DHS内固定。髋臼骨折按Letournel分型,后壁骨折8例,后壁后柱骨折1例,均采用钛合金重建钢板内固定。本组漏诊2例。结果9例随访13～38个月,平均22.4个月。按照美国矫形外科研究院疗效评定标准,优8例,良1例,优良率100%。结论股骨骨折合并同侧髋臼骨折股骨头脱位受伤机制复杂、伤情重、合并伤多、易漏诊,应尽早手术治疗。
Objective To discuss the treatment of femoral fracture combined with ipsilateral acetabular fracture and femoral head dislocation and the reasons for the misdiagnosis of the injury. Methods According to AO classification, there were 3 cases of type 32A, 2 of type 32B, and 1 of type 32C, who were treated with internal fixation of interlocking nails. There was 1 case of type 33C3, who was treated with femoral condyle supporting plate. There were 2 cases of type 31A2, who were treated with DHS. According to the Letournel classification, fracture of the acetabular posterior wall was found in 8 cases and fracture of the acetabular posterior column and wall in 1 case. All the cases of acetabular fracture were treated with internal fixation of titanium alloy reconstructive plates. Delayed diagnosis was found in 2 cases in this group. Results The 9 patients were followed up for 13 to 38 months (averaging 22.4 months). According to the American criteria, 8 cases was rated as excellent, and 1 case as good, with thd total excellent and good rate being 100%. Conclusions Femoral fractures combined with ipsilateral acetabular fracture and femoral head dislocation are a rare, complex and serious injury. They usually involve other organs, and are easy to be misdiagnosed. The surgeries should be done as early as possible. The internal fixation plays a key role in management of the fracture of acetabular.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第11期1299-1300,共2页
Chinese Journal of Orthopaedic Trauma
关键词
股骨
髋臼
骨折和脱位
同侧
内固定
Femur
Acetabulum
Fracture and dislocation
Ipsilateral
Internal fixation
