CAJ | 학술논문

　　目的探讨Pipkin骨折的治疗方法及疗效。方法2005-2011年惠州市中心人民医院共收治此类损伤15例。按Pipkin骨折分型：Ⅰ型6例，Ⅱ型6例，Ⅲ型2例，Ⅳ型1例。并按分型、年龄、影像学资料及全身综合的情况，对其采用个体化治疗。结果经随访12～33个月，平均17.5个月。按Thompson-Epstein临床和影像学评定标准，优4例，良7例，可2例，差2例，优良率73.3%。结论早期诊断，并对患者实行个体化治疗是Pipkin骨折治疗成功的关键。
　　목적탐토Pipkin골절적치료방법급료효。방법2005-2011년혜주시중심인민의원공수치차류손상15례。안Pipkin골절분형：Ⅰ형6례，Ⅱ형6례，Ⅲ형2례，Ⅳ형1례。병안분형、년령、영상학자료급전신종합적정황，대기채용개체화치료。결과경수방12～33개월，평균17.5개월。안Thompson-Epstein림상화영상학평정표준，우4례，량7례，가2례，차2례，우량솔73.3%。결론조기진단，병대환자실행개체화치료시Pipkin골절치료성공적관건。
Objective To investigate the treatment and therapeutic effect of posterior dislocation of hip joint combined with fractures of the femoral heads (Pipkin’s fracture). Methods 15 cases of Pipkin’s fractures were treated from 2005 to 2011.According to Pipkin’s classiifcation, there were 6 cases of type I,6 cases of type II , 2 cases of type III, and 1 case of type IV. individualized treatment were taken according to their classiifcation s,ages,preoperative iconography information and integrative condition.Results Followup ranged from 8 months to 33 months(average 17.5 months). According to evaluation criteria of Thompson-Epstein,In all the 15 cases,excellent result was achieved in 4 cases,good in 7 cases,fair in 2 cases,poor in 1 cases.The ifnal satisfactory rate was 73.3%.Conclusion The key to succeed in treating Pipkin’s fracture is early diagnosis and individualized treatment.