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1、手术治疗豔臼合并同侧股骨干骨折的临床研究作者：王开明杨德顺廖亮秦骥张庆【摘要】目的总结髓臼合并同侧股骨干骨折的手术方法和治疗效果。方法从2003-2006年共手术治疗12例。股骨干骨折根据A0的MUller分类法，A1型3例,A2型2例,A3型3例,B2型3例,C2型1例。骯臼骨折按A0的Letournel²Judet分型，A1型2例，A2型1例，B型5例，C型4例。根据不同骨折类型，分别采用不同手术入路进行骨折复位内固定。结果12例患者平均随访15.8个月，根据Matta影像学评分，解剖复位7例，满意复位3例，不满意复位2例。根据DzAubigne和Po
2、stel功能评分法，优6例(50.00%),良2例(16.67%),可3例(25.00%)),差］例(8.33%)o根据Epstein影像学标准评价，优7例，良2例，可2例，差1例。发生股骨头坏死合并创伤性关节炎1例(8.33%),异位骨化1例(8.33%)。无手术死亡、感染及骨折不愈合发生。结论把握合适的手术时机，准确的评估骨折类型，选择止确的手术入路，配合术中灵活的处理，是提高疗效的关键。【关键词】競臼股骨骨折外科手术治疗结果AbstractObjectiveToimprovetheeffectofoperativetreatmentofipsilaterala
3、cetabularfracturesandfemoralfracturesbyanalyzingtheclinicalexperiencesinthetreatmentofthefractures・MethodsInthisseries,12ipsilateralacetabularfracturesandfemoralfractureswerereviellerclassification.0fthel2casesfracturesofAltypewereseenin3cases,A2typein2casesA3typein3ca.sesB2typein3case
4、sandC2typeinlease・AcetabularfractureswereclassifiedaccordingtoLetourne1²Judetclassification.Tnthosecases,fracturesofAltypewereseenin2cases,A2typeinlcase,Btypein5cases,andCtypein4cases・Differentapproachandtreatmentwereadoptedinthosecasesaccordingtothetypeoffractures・ResultsAlltheca
5、seswerefol1owedupforaveragel5・8months・AccordingtocriteriaofMattaradiographiegrade,therewere7caseswithanatomicreduction,3withsatisfactoryreduction,and2withunsatisfa.ctoryreduction.BasedontheD'Aubigneand卩ostelclinicalgrsdingsysteni,6(50%)casesshowedexcellentresults,2(16・67%)casesgood,3(2
6、5%)casesfairandl(8.33%)casespoor・AccordingtocriteriaofEpsteinradiographiegrade,7casesshowedexcel1entresults2casesgood2casesfairandlcasepoor・Avascularnecrosisofthefemoralheadandtraumaticarthritiswerefoundinlca.se(8.33%),heterotopicossificationwasfoundinlcase(8.33%)・Nodeath,infectionorno
7、nunionwerefound・ConclusionOperationontime,exactjudgmentoffracturetype,reasonablesurgicalapproachesandtreatmentinoperationareessentialtogoodresultsofipsilateralacetabularfracturesandfemoralfractures・Keywords：acetabulum；femur；fractures；surgical；operation；treatmentoutcome随着经济的发展和社会的进步，高
