Operative treatment of hip dislocation combined with acetabular fractures
10.3760/cma.j.issn.1001-8050.2009.01.07
- VernacularTitle:髋关节后脱位合并髋臼骨折的手术治疗
- Author:
Jingsheng WANG
;
Guanglin WANG
;
Fuxing PEI
;
Tianfu YANG
;
Yue FANG
;
Gang WU
;
Hui ZHANG
;
Lei LIU
- Publication Type:Journal Article
- Keywords:
Hip dislocation;
Acetabulum;
Fractures;
Complications
- From:
Chinese Journal of Trauma
2009;25(1):20-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the cLinical outcome and influencing factors of open reduction and internal fixation in treatment of hip dislocation combined with acetabular fractures. Methods A retrospective analysis was performed on 51 patients with hip dislocation combined with twetabular frac-tures, who were treated with open reduction and internal fixation under general anesthesia in the emergen-cy department on admission. Of all, 41 patients were treated with open reduction and plate/screw internal fixation, for which the reduction result was evaluated by postoperative X-rays and follow up X-rays accord-ing to Matta's criteria and the functional outcome by Merle d' Aubigne's criteria. Results Of 41 pa-tients, 33 were followed up for 1-7 years (mean 3.1 years). X-ray evaluation showed anatomic reduction in 27 patients (82%), imperfect reduction in five (15%) and poor reduction in one (3%). The clini-cal outcome at the time of final follow-up was graded as excellent in 18 patients (55%), good in 8 (24%), mederate in 3 (9%) and peor in4 (12%), with total excellence rate of 79%. Conclusion Prompt reduction of hip dislocation, precise reduction of the acetabular fracture and decrease of periopera-tive comphcations are key to excellent clinical outcome.
