中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2010年
9期
840-842
,共3页
髋脱位,急性%髋骨折%关节镜%骨折固定术,内
髖脫位,急性%髖骨摺%關節鏡%骨摺固定術,內
관탈위,급성%관골절%관절경%골절고정술,내
Hip dislocation,acute%Hip fractures%Arthroscope%Fracture fixation,internal
目的 探讨髋关节后脱位急性期行髋关节镜检查和治疗的临床疗效. 方法2005年8月-2009年4月,对32例急性髋关节后脱位患者行髋关节镜检查和治疗.其中男26例,女6例;平均年龄38.5岁(23～55岁).全部患者均根据临床症状、体征及常规前后位骨盆摄片或CT扫描证实为髋关节后脱位.镜下观察髋关节内损伤情况,并在关节镜下行关节清理.8例患者Ⅱ期行髋臼骨折切开复位内固定术.根据Sanders评分评价术后髋关节功能. 结果术中发现29例关节腔内有大小不等游离体,3例股骨头圆韧带断裂,12例髋臼盂唇损伤,8例髋臼骨折需Ⅱ期行切开复位内固定术.术中及术后未出现血管、神经损伤.随访时间平均10个月(5～24个月).根据Sanders评分:优23例,良5例,一般4例. 结论髋关节后脱位急性期行髋关节镜检查能够充分评估关节内的损伤情况,进而对关节内游离体、股骨头圆韧带及盂唇损伤进行有效清理.
目的 探討髖關節後脫位急性期行髖關節鏡檢查和治療的臨床療效. 方法2005年8月-2009年4月,對32例急性髖關節後脫位患者行髖關節鏡檢查和治療.其中男26例,女6例;平均年齡38.5歲(23～55歲).全部患者均根據臨床癥狀、體徵及常規前後位骨盆攝片或CT掃描證實為髖關節後脫位.鏡下觀察髖關節內損傷情況,併在關節鏡下行關節清理.8例患者Ⅱ期行髖臼骨摺切開複位內固定術.根據Sanders評分評價術後髖關節功能. 結果術中髮現29例關節腔內有大小不等遊離體,3例股骨頭圓韌帶斷裂,12例髖臼盂脣損傷,8例髖臼骨摺需Ⅱ期行切開複位內固定術.術中及術後未齣現血管、神經損傷.隨訪時間平均10箇月(5～24箇月).根據Sanders評分:優23例,良5例,一般4例. 結論髖關節後脫位急性期行髖關節鏡檢查能夠充分評估關節內的損傷情況,進而對關節內遊離體、股骨頭圓韌帶及盂脣損傷進行有效清理.
목적 탐토관관절후탈위급성기행관관절경검사화치료적림상료효. 방법2005년8월-2009년4월,대32례급성관관절후탈위환자행관관절경검사화치료.기중남26례,녀6례;평균년령38.5세(23～55세).전부환자균근거림상증상、체정급상규전후위골분섭편혹CT소묘증실위관관절후탈위.경하관찰관관절내손상정황,병재관절경하행관절청리.8례환자Ⅱ기행관구골절절개복위내고정술.근거Sanders평분평개술후관관절공능. 결과술중발현29례관절강내유대소불등유리체,3례고골두원인대단렬,12례관구우진손상,8례관구골절수Ⅱ기행절개복위내고정술.술중급술후미출현혈관、신경손상.수방시간평균10개월(5～24개월).근거Sanders평분:우23례,량5례,일반4례. 결론관관절후탈위급성기행관관절경검사능구충분평고관절내적손상정황,진이대관절내유리체、고골두원인대급우진손상진행유효청리.
Objective To evaluate the significance of arthroscopy in diagnosis and treatment of acute posterior dislocation of the hip. Methods From August 2005 to April 2009, 32 patients with acute posterior hip dislocation underwent hip arthroscopy in our hospital. All patients were confirmed by symptoms, signs, X-ray examination and CT scan. There were 26 males and 6 females, at mean age of 38.5 years (range 23-55 years). An arthroscope was introduced to evaluate the intraarticular lesions routinely. Then, arthroscopic debridement was performed. Eight patients with acetabular fractures were treated by open reduction and internal fixation after arthroscopy. The Sanders scores were employed to evaluate the postoperative hip functions. Results Among 32 patients, there were 29 patients with loose bodies, three with tear of the ligamentum, 12 with labrum injuries and eight with acetabulum fractures that required a second stage open reduction and internal fixation. There were no complications of vessel or nerve injuries peri- or post-operatively. An average period of follow-up for 10 months (range, 5-24months) were available for all patients, which showed excellent results in 23 patients, good in five and fair in four according to the Sanders scores. Conclusion Hip intraarticular lesions can be evaluated and confirmed by the arthroscope, under which the loose bodies, tear of the ligamentum teres and labrum injuries can be cleared effectively.
