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髋臼骨折外科治疗进展 被引量:37

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摘要 髋臼骨折外科治疗提倡解剖复位、有效内固定和早期功能锻炼。髋臼位置特殊、骨折复杂,必须根据影像学表现作出准确分型,才能指导外科治疗。髋臼关节面移位、头臼不匹配、存在不能接受的顶弧角度、关节内有骨折块和股骨头半脱位时必须采取手术治疗,其疗效与复位质量呈正相关。新固定材料大量应用于临床,具有针对不同类型骨折的优势。对某些预计预后不良的髋臼骨折及伴有严重骨质疏松的老年患者,主张行初期全髋关节置换术。对延误治疗或内固定失败,出现晚期并发症患者,全髋关节置换术可有效改善关节功能。
出处 《国际骨科学杂志》 2010年第3期145-147,共3页 International Journal of Orthopaedics
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