中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
13期
18-20
,共3页
髋关节后脱位%股骨头骨折%治疗策略
髖關節後脫位%股骨頭骨摺%治療策略
관관절후탈위%고골두골절%치료책략
Posterior hip dislocation%Femoral fractures%Treatment strategies
目的 探讨髋关节后脱位合并股骨头骨折的治疗策略.方法 自2006年5月至2010年1月,共收治18例该类患者,根据Pipkin分4型:I型4例,Ⅱ型6例,Ⅲ型3例,Ⅳ型5例.根据各类分型的不同创伤病理改变,对其采用不同的治疗方法.结果 经1~4年随访,18例中疗效优8例,良6例,可2例,差2例,优良率为83.3%.结论 对于髋关节后脱位合并股骨头骨折应早期正确诊断,结合骨折分型采用合适的治疗方法,能获得较满意的疗效.
目的 探討髖關節後脫位閤併股骨頭骨摺的治療策略.方法 自2006年5月至2010年1月,共收治18例該類患者,根據Pipkin分4型:I型4例,Ⅱ型6例,Ⅲ型3例,Ⅳ型5例.根據各類分型的不同創傷病理改變,對其採用不同的治療方法.結果 經1~4年隨訪,18例中療效優8例,良6例,可2例,差2例,優良率為83.3%.結論 對于髖關節後脫位閤併股骨頭骨摺應早期正確診斷,結閤骨摺分型採用閤適的治療方法,能穫得較滿意的療效.
목적 탐토관관절후탈위합병고골두골절적치료책략.방법 자2006년5월지2010년1월,공수치18례해류환자,근거Pipkin분4형:I형4례,Ⅱ형6례,Ⅲ형3례,Ⅳ형5례.근거각류분형적불동창상병리개변,대기채용불동적치료방법.결과 경1~4년수방,18례중료효우8례,량6례,가2례,차2례,우량솔위83.3%.결론 대우관관절후탈위합병고골두골절응조기정학진단,결합골절분형채용합괄적치료방법,능획득교만의적료효.
Objective To study the treatment strategies of posterior hip dislocation combined with femoral fractures.Methods Between May 2006 and January 2010, 18 cases of posterior hip dislocation combined with femoral fractures were treated.Classification was based on Pipkin's criteria. Of the 18 cases, 4 cases were typeⅠ, 6 cases were typeⅡ, 3 cases were typeⅢ, 5 cases were typeⅣ. Various procedures were taken according to classifications and pathology. Results Follow-up study was 1 to 4 years. Of the 18 cases, excellent result was achieved in 8 cases, good in 6 cases, fair in 2 cases, poor in 2 cases. Rate of excellent and good result was 83.3%. Conclusions The key to achieve better result in posterior hip dislocation combined with femoral fractures was early proper diagnosis and proper treatment based on fracture pattern.
