Analysis of the correlative factors influencing on the results of treatment of acetabular fractures
- VernacularTitle:影响髋臼骨折疗效的相关因素分析
- Author:
Jian JIA
- Publication Type:Journal Article
- Keywords:
Acetabulum;
Hip fractures;
Treatment outcome;
Prognos
- From:
Chinese Journal of Orthopaedics
1998;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the factors influencing the outcome of acetabular fracture treatment and their protective measures. Methods Eighty six patients with acetabular fractures admitted from March 1990 to March 2000 were reviewed. Forty one cases were treated by open reduction and internal fixation and the others were treated by traction. According to Letournel classification, 37 cases were simple fractures, 49 complex fractures. Multiple trauma was found in 45 cases, posterior hip dislocation combined femoral head or neck fractures in 36 cases and primary sciatic nerve injury in 15 cases. Results Seventy five of 86 cases were followed up for an average of 25.6 months. According to Harris hip score, 31 cases were rated excellent, 13 good, 5 fair and 26 poor. Avascular necrosis of the femoral head was found in 9 cases, traumatic arthritis in 15 cases and heterotopic ossification in 16 cases. Conclusion The main factors influencing on the efficacy of acetabular fracture treatment were the types of fractures, patient s age, the method of treatment, timing of surgery, selection of approaches, quality of reduction, combined injury and complications. The functions of joints could be improved by operative internal fixation. However, the quality of reduction was not the only criterion to judge long term results. The essential conditions ensuring satisfactory prognosis were: 1)age
