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    The Study of Some Questions for Acetabular Fracture
    髋臼T形骨折相关问题研究
    The Related Study on Healing Mechanism of Acetabular Fracture Fixed by Acetabular Tridimentional Memoryalloy-FixationSystem
    髋臼三维记忆内固定系统治疗髋臼骨折的相关机理研究
    An Experimental Study of MRI Diagnosis and Pathology on the Acute Impact Injury of Acetabular Cartilage
    髋臼软骨急性冲击伤的MRI诊断及病理实验研究
    X-Ray Analysis of 94 Cases of Acetabular Dysplasia in the Aclult
    成人髋臼结构不良(附94例X线分析)
    Diagnosis and Operative Treatment of Acetabular Posterior Wall Fracture
    髋臼后壁骨折的诊断和手术治疗
    Open Reduction and Internal Fixation for 99 Acetabular Fractures
    对99例髋臼骨折内固定治疗的分析
    Objective To discuss the treatment methods and results of acetabular fractures.
    目的探讨髋臼骨折的治疗方法及效果。
    Methods Clinical analysis was done on 31 cases of acetabular fractures treated from March 2001 to October 2005.Of all cases,9 were treated conservatively and 22 with operative management.
    方法对2001年3月-2005年10月收治的31例髋臼骨折患者的临床资料进行回顾性分析。 9例无明显移位的骨折予牵引等保守治疗,22例行切开复位、内固定术。
    Conclusions Imageology checking,identify operative indication,definition operative program,timely surgery,anatomy reposition,reliable internal fixation,and postoperative functional exercise are keys to improve the treatment results of the acetabular fractures.
    结论对单纯无移位的骨折采用牵引治疗效果较好,但绝大部分髋臼骨折需手术治疗,术前影像学检查、明确手术指征、确定手术方案、把握手术时机,术中解剖复位、可靠的内固定及术后早期功能锻炼,对髋臼骨折患者术后的功能恢复极为重要。
    Combined injuries included ectopic ossification(27 cases),traumatic arthritis(19 cases),acetabular erosion(1 case),femoral head necrosis(3 cases),fat liquefaction(3 cases) and superficial infection(1 case).
    并发异位骨化27例,创伤性关节炎19例,髋臼坏死1例,股骨头坏死3例,术后脂肪液化3例,浅表感染1例。
    Results Ana- tomical reduction (displace≤1mm) was applied in 203 (78.4%) patients,including 120/125 (96.0%) patients with simple acetabular fracture and 83/134 (61.9%) patients with complex acetabular fracture,among them 42/54 (77.8%) patients were managed by two approaches and 41/80(51.3%) by one approach.
    简单型髋臼骨折解剖复位率为96.0%(120/125); 复杂型髋臼骨折解剖复位率为61.9%(83/134),其中双入路解剖复位率为77.8%(42/54),单入路为51.3%(41/80)。
    Satisfactory reduction (displace 2-3 mm) was attained in 42 (16.2%) patients,including 5 patients with simple and 37 patients with complex acetabular fractures.
    满意复位(移位2~3 mm)42例,占16.2%,其中简单型髋臼骨折5例,复杂型髋臼骨折37例;
    Unsatisfactory reduction (dis- place>3 mm) was in 14 (5.4%) patients of complex acetabular fracture.
    不满意复位(移位≥3 mm)14例,占5.4%,均为复杂型髋臼骨折。
    Objective:To study the best entry points, direction and length of screw in acetabular anterior column lag screw technique.
    目的:研究髋臼前柱拉力螺钉内固定技术中螺钉的最佳进钉点、方向和长度。
    Conclusions:Acetabular anterior column lag screw technique has advantages such as low trauma, high strength of fixation, when being applied in some types of acetabular fractures.
    结论:髋臼前柱拉力螺钉技术具有创伤小、固定强度大等优点,在某些髋臼骨折中应用具有明显的优势。
    Conclusion Combined surgical approach is a good operative treatment to complex acetabular fracture.
    结论前后联合入路手术治疗复杂髋臼骨折有较好的疗效,是一种好的手术治疗方式。
    ②The stress distribution in fixed acetabulum and the medial surface of fracture was even, the stress in most nodes was positive stress, which was identical with physiologic loading (the max compressive stress 7.00 MPa). The fracture of near acetabular fossa boundary was tensile stress.
    ②被固定髋臼后壁骨块应力分布均匀,各节点所受应力主要为接近生理载荷的正应力,无论在后壁骨折的上、下及内侧骨折面,骨折断层的应力分布表现为记忆导向孔附近应力较大,为垂直骨折面的压应力(最大压应力7.00MPa),近髋臼窝边缘处骨折面表现为张应力。
    Objective:To seek the method of construction of3D acetabular model and find out its memory biomechanical significance.
    目的:寻求髋臼三维模型构建的方法,并探讨其相关的记忆生物力学意义。
    Conclusion:ATM provides a new and efficacious method for the anatomic reduction or reconstruction of comminuted acetabular fractures.
    结论:髋臼三维记忆内固定系统为粉碎的髋臼医得解剖性重建,提供了一种新而有效的内固定技术与方法。
    Methods From October 1997 to April 2001 51 patients 53 hips with acetabular dysplasia were operated upon with Bernese periacetabular osteotomies through ilioinguinal approach.
    方法:1997年10月-2001年4月,共有51例患者53髋)因髋臼发育不良造成髋关节疼痛而接受经髂腹股沟入路髋臼周围截骨术(Bernese periacetabular osteotomy)。
 

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