脱位似乎并非影响髋臼后壁骨折患者中短期不良预后的绝对因素。

Yunfeng Yao, Houlong Ye, Wang Fang, Ru Feng, Chun Zhang, Liujie Zheng, Hao Lv, Jun Li, Juehua Jing
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引用次数: 0

摘要

脱位是累及后壁的髋臼骨折的并发症之一,但脱位是否是影响髋关节中短期预后的绝对因素仍存在争议。本研究旨在比较确诊为髋臼后壁骨折(伴有或不伴有脱位)的患者的中短期临床和放射学结果。所有骨折均通过单一Kocher-Langenbeck入路进行切开复位+钢板螺钉组合内固定术。所有患者的平均随访时间为43.90个月(24-75个月)。两组患者的中短期临床和影像学结果相似。在涉及后壁的髋臼骨折患者中,髋关节脱位可能并不是不良预后的绝对决定因素。在髋臼后壁骨折患者中,髋关节脱位可能并不是不良预后的绝对决定因素。即使早期复位,中短期预后结果也与未脱位患者相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dislocation Does Not Seem To Be an Absolute Factor Effecting the Short- to Medium-Term Poor Prognosis of Patients with Acetabular Posterior Wall Fracture.

Dislocation is a complication of acetabular fractures involving the posterior wall, but whether dislocation is an absolute factor impacting the short- to medium-term prognosis of the hip joint remains controversial. This study aimed to compare the short- to medium-term clinical and radiological results among patients diagnosed with an acetabular fracture involving the posterior wall, with or without dislocation.Seventy-nine patients diagnosed with an acetabular fracture involving the posterior wall were retrospectively divided into posterior dislocation and non-dislocation groups. All fractures were open reduction + internal fixation with a plate screw combination through the single Kocher-Langenbeck approach. The short- to medium-term radiographic outcomes of follow-up were evaluated using the Matta radiologic grading system, while the clinical outcomes were evaluated using the modified Merle d'Aubigné-Postel evaluation system.The mean follow-up duration for all patients was 43.90 (range 24-75) months. Both groups achieved similar short- to medium-term clinical and radiographic results. There seems to be no significant differences between the two groups regarding the short- to medium-term assessment of clinical and radiographic results and the occurrence of postoperative complications (p > 0.05).In patients with acetabular fractures involving the posterior wall, hip dislocation is probably not an absolute determinant of a poor outcome. Even with early reduction, the short- to medium-term prognosis results appear similar to those of patients without dislocation.

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