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手术治疗复杂髋臼骨折的体会

The treatment of combined acetabular fracture
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摘要 目的探索治疗复杂髋臼骨折的方法以提高疗效。方法2000年1月-2003年11月我院共收治复杂髋臼骨折28例,按不同类型分别用重建钢板、螺丝钉予以内固定治疗。随访1-5年,平均3年。结果术后骨折(复位按Judet等人方法评估)达解剖复位者24例,满意复位者3例,不满意复位者1例。按Harris评分评估髋关节功能:优21例,良4例,可2例,差1例,其中深部感染1例,发生异位骨化者4例。结论手术治疗复杂髋臼骨折是有效可靠的方法。 Objective To explor the method of treating the combined acetabular fracture. Methods Between January 2000 and November 2001, a total of 28 acetabular fractures were treated surgically(mainly combined fractures). Which were surgically fixed with restructing plate and screw according the type of fracture, the average follow- up was 36 months. Results The Postoperative reduction( according Judet' s method) was graded as excellent in 96% and imperfect in 4% of the patients,The hips were evaluated functionally according to the harris score and rated as excellent in 21 patient.s(78% ), good in 4 patients(14% ), fair in 2 patients(7% ) and poor in 1 patients(4 % ).qlaere were 1 deep infections and 4 heterotopic ossifications. Conclusion Our results support the idea that open reduction was a good method to treat the acetabular fracture.
出处 《宁夏医学杂志》 CAS 2005年第10期664-666,共3页 Ningxia Medical Journal
关键词 髋臼 骨折 治疗 Acetabular Fracture Treatment
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参考文献10

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