医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
30期
51-52
,共2页
同侧%股骨干%股骨转子间%髋臼%骨折固定%内
同側%股骨榦%股骨轉子間%髖臼%骨摺固定%內
동측%고골간%고골전자간%관구%골절고정%내
Ipsilateral%femoral shaft%between femur%Acetabulum%fracture fixation%internal
目的：探讨股骨干及股骨转子间骨折合并同侧髋臼骨折的治疗方法及临床疗效。方法股骨干及股骨转子间骨折合并同侧髋臼骨折10例，均为男性；年龄23～56岁，平均34.5岁。髋臼骨折按Letournel分型，后壁伴后柱骨折6例，单纯后壁骨折2例，髋关节中心性骨折脱位2例。均行重建钢板内固定。股骨骨折行加长髓内钉固定6例；股骨干行钢板内固定，股骨转子间骨折行动力髋螺钉固定4例。结果6例均获随访，随访时间12个月～3年，平均17.2个月。骨折均临床愈合，髋关节功能根据D’Aubigne疗效评定标准：优7例，良2例，可1例。10例中漏诊2例，漏诊率20%。结论股骨干及股骨转子间骨折合并同侧髋臼骨折受伤暴力大、机制复杂漏诊率较高，应早期明确诊断，合理内固定临床疗效尚好。
目的：探討股骨榦及股骨轉子間骨摺閤併同側髖臼骨摺的治療方法及臨床療效。方法股骨榦及股骨轉子間骨摺閤併同側髖臼骨摺10例，均為男性；年齡23～56歲，平均34.5歲。髖臼骨摺按Letournel分型，後壁伴後柱骨摺6例，單純後壁骨摺2例，髖關節中心性骨摺脫位2例。均行重建鋼闆內固定。股骨骨摺行加長髓內釘固定6例；股骨榦行鋼闆內固定，股骨轉子間骨摺行動力髖螺釘固定4例。結果6例均穫隨訪，隨訪時間12箇月～3年，平均17.2箇月。骨摺均臨床愈閤，髖關節功能根據D’Aubigne療效評定標準：優7例，良2例，可1例。10例中漏診2例，漏診率20%。結論股骨榦及股骨轉子間骨摺閤併同側髖臼骨摺受傷暴力大、機製複雜漏診率較高，應早期明確診斷，閤理內固定臨床療效尚好。
목적：탐토고골간급고골전자간골절합병동측관구골절적치료방법급림상료효。방법고골간급고골전자간골절합병동측관구골절10례，균위남성；년령23～56세，평균34.5세。관구골절안Letournel분형，후벽반후주골절6례，단순후벽골절2례，관관절중심성골절탈위2례。균행중건강판내고정。고골골절행가장수내정고정6례；고골간행강판내고정，고골전자간골절행동력관라정고정4례。결과6례균획수방，수방시간12개월～3년，평균17.2개월。골절균림상유합，관관절공능근거D’Aubigne료효평정표준：우7례，량2례，가1례。10례중루진2례，루진솔20%。결론고골간급고골전자간골절합병동측관구골절수상폭력대、궤제복잡루진솔교고，응조기명학진단，합리내고정림상료효상호。
Objective: Explore the femoral shaft and intertrochanteric fracture with ipsilateral acetabular fracture treatment and the clinical efficacy .Methods: Femoral shaft and intertrochanteric fracture with ipsilateral acetabular fracture 10 cases, men; age 23- 56 years old, average 34.5 years old. Letournel acetabular fractures according to type, the posterior wal with 6 cases of posterior column fracture, 2 cases of posterior wal fractures alone are line Femoral shaft,Central fracture dislocation of the hip in 2 cases; with interlocking intramedul ary nailing Example,6; femur plate fixation line, intertrochanteric fracture of femur with dynamic hip screw fixation Example 4. Results: 10 patients were fol owed up for 12 months to 36 months, an average of 17.2 months. Clinical healing of fractures, hip function according to D’Aubigne efficacy criteria: excellent 7 cases, good in 2 cases, Example 1. Example 10 in two cases of missed diagnosis, missed diagnosis rate of 20%. Conclusion: Femoral shaft and intertrochanteric fracture with ipsilateral acetabular fracture were injured in the violence, and a higher rate of missed diagnosis of complex mechanisms, early diagnosis should be a reasonable clinical efficacy of internal fixation is stil good.
