摘要
目的评估髋臼合并股骨粗隆间骨折的临床诊断与治疗方法。方法选取髋臼合并同侧股骨粗隆间骨折38例，患者均为车祸伤。对所有患者采用Kocher—Langenbeck入路术式并进行内固定治疗，评价患者的手术疗效。结果患者随访时间8-24（12．8±3．9）个月，纳入的38例患者均达到解剖复位，疗效优19例，良12例，尚可7例，患者优良率为81．6％（31／38）。结论通过Kocher—Langenbeck入路在直视下将髋臼合并股骨粗隆间骨折两处骨折同时处理，术后应用抗凝药物，并进行肢体功能锻炼与牵引康复治疗，减少了术后并发症尤其是深静脉血栓的发生。
Objective To evaluate the clinical diagnosis and treatment of acetabular combined with femoral intertrochanteric fracture. Methods Thirty-eight cases of acetabular combined with femoral intertrochanteric fractures were selected. The patients were all injured by traffic injury. All patients were treated with Kocher-Langenbeck procedure and internal fixation, and the efficacy of the patients was eval- uated. Results The patients were followed up for 8 to 24 months, with an average of （ 12.8 ± 3.9 ） months. All of the 38 patients had anatomic reduction. A total of 19 patients had excellent efficacy, 12 patients had good efficacy, well in 7 cases. The excellent and good rate was 81.6% （31/38）. Conclusions Two fractures can be treated simultaneously with the Koeher-Langenbeck approach, post- operative patients with anticoagulant drugs, and physical exercise and traction rehabilitation, reduce post- operative complications, especially the occurrence of deep vein thrombosis.
作者
刘启杰
Liu Qijie(The People＇ s Hospital of Jiaozhou, Jiaozhou 266300, Chin)
出处
《中国实用医刊》
2018年第8期82-84,共3页
Chinese Journal of Practical Medicine
关键词
髋臼骨折
股骨粗隆间骨折
手术治疗
Acetabular fracture
Femoral intertrochanteric fracture
Surgical treatment
