股骨干及股骨转子间骨折合并同侧髋臼骨折的手术治疗.docxVIP

股骨干及股骨转子间骨折合并同侧髓臼骨折的手术治疗 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髓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競臼骨折10例，均为男性;年龄 23?56岁，平均34.5岁。髓臼骨折按Letournel分型，后壁伴后柱骨折6例,单纯后 壁骨折2例，骯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骯螺钉固定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，競关节功能根据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覩臼 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 髓臼 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 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 interlock!ng 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 mon ths to 36 months, an average of 17.2 mon ths. Clin ical heali ng of fractures, hip function accordi ng to Drsquo;Aubigne efficacy criteria: excellent 7 cases, good in 2 cases, Example 1. Example 10 in two cases of missed diag no sis, missed diag nosis rate of 20%. Conclusion: Femoral shaft and intertrochanteric fracture with ipsilateral acetabular fracture were injured in the violenee, 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 fracture fixation internal 随着交通运输业的迅速发展，交通事故频发，临床中骨折也渐增多，多 发性骨折吋有发生，股骨骨折是