股骨干及股骨转子间骨折合并同侧髋臼骨折的手术治疗.docVIP

精品论文 参考文献 股骨干及股骨转子间骨折合并同侧髋臼骨折的手术治疗 赵阳 薛朝辉 杨凯（汉江水利水电集团有限责任公司汉江医院 442700） 【摘要】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Drsquo;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。 【关键词】 同侧 股骨干 股骨转子间 髋臼 骨折固定 内 【中图分类号】R687 【文献标识码】A 【文章编号】2095-1752（2013）30-0051-02 Femoral shaft and intertrochanteric fracture with ipsilateral acetabular fracture surgery 【Abstract】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 wall with 6 cases of posterior column fracture, 2 cases of posterior wall fractures alone are line Femoral shaft，Central fracture dislocation of the hip in 2 cases; with interlocking intramedullary nailing Example,6; femur plate fixation line, intertrochanteric fracture of femur with dynamic hip screw fixation Example 4. Results: 10 patients were followed up for 12 months to 36 months, an average of 17.2 months. Clinical healing of fractures, hip function according to Drsquo;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 still good. 【Keywords】Ipsilateral femoral shaft between femur Acetabulum