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posterior hip dislocation
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  髋关节后脱位
     A Clinic Analysis of 26 Cases of Ipsilateral Femoral Shaft Fracture Combined With Posterior Hip Dislocation
     手法整复治疗股骨干骨折并同侧髋关节后脱位26例临床分析
短句来源
     Methods:We collected the data of 26 cases of ipsilateral femoral shaft fracture combined with posterior hip dislocation in our department from 1996 to 2002 ,all patients were treated by traditional medicine and bone-setting.
     方法 :我们收集了我科 1996年至 2 0 0 2年共 2 6例股骨干骨折并同侧髋关节后脱位患者的临床资料。
短句来源
     Objective:To explore the treatment method of posterior hip dislocation combined with fractures of the femoral head.
     目的 :探讨髋关节后脱位合并股骨头骨折的治疗方法。
短句来源
     Methods From Sept 1996 to Dec 2001,the authors treated 7 cases of sciatic nerve injury in posterior dislocation of the hip. The types of posterior hip dislocation were evaluated according to Epstein's types:TypeⅠ 5 cases and Type Ⅱ 2 cases.
     方法 自 1 996年 9月~ 2 0 0 1年 1 2月我科共收治该类患者 7例 ,髋关节后脱位按Epstein分型 :Ⅰ型 5例 ,Ⅱ型 2例 ,所有病例均行神经探查、松解手术。
短句来源
     Management of ipsilateral acetabular fractures and posterior hip dislocation and femoral fractures
     股骨干骨折合并同侧髋臼骨折与髋关节后脱位的治疗体会
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  “posterior hip dislocation”译为未确定词的双语例句
     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.
     多发伤 45例,合并股骨头、颈骨折和 (或 )股骨头后脱位者共 36例,并发坐骨神经损伤者 15例。
短句来源
  相似匹配句对
     Applied Anatomy of the Posterior Approach to Hip Joint
     髋关节后侧入路应用解剖
短句来源
     The treatment of posterior hip dislocation combined with femoral fractures
     髋关节后脱位伴股骨头骨折的治疗
短句来源
     Minimally invasive total hip arthroplasty with posterior incision
     后路小切口人工全髋关节置换术
短句来源
     21 cases of posterior dislocation with fracture of the hip were reviewed.
     本文报告21例髋关节后脱位伴骨折的治疗结果。
短句来源
     Treatment of Posterior Dislocation of the Hip associated with Acetabular Fracture
     髋关节后脱位伴髋臼骨折的治疗
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  posterior hip dislocation
We report a case of traumatic, simultaneous right anterior and left posterior hip dislocation without associated fractures, suffered in a high velocity traffic accident by a 35-year-old man.
      
We present three cases of acute posterior hip dislocation in young adults after low-energy trauma, which presented to our unit over a 4-year period, and a review of another 21 cases of similar injury previously described in the literature.
      
Acute posterior hip dislocation following low velocity trauma in a young healthy adult is a rare injury.
      
Combination of posterior hip dislocation with ipsilateral femoral shaft and head fractures is unusual.
      
we report a rare injury in a 32-year-old man victim of a high-energy motor vehicle accident who sustained a posterior hip dislocation with concomitant ipsilateral fractures of both the femoral head and femoral shaft.
      
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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...

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< 45 years, 2) absence of posterior hip dislocation at the time of injury, 3)routine preoperative traction for partial reduction of the femoral head and decompression of the articular cartilage, 4)satisfactory reduction of the fracture with residual displacement≤ 3 mm, 5) rigid fixation to aid early mobilization of the hip joint, 6)use of prophylaxis to prevent classⅢ orⅣ heterotopic ossification, 7)no radiographic evidence of avascular necrosis of femoral head at 2 year follow up, 8)no clinical manifestations of traumatic arthritis and its progressive tendency.

目的探讨影响髋臼骨折疗效的相关因素及其防治措施。方法回顾性总结 1990年 3月~ 2000年 3月收治的资料完整的髋臼骨折 86例,其中经牵引复位者 45例,手术治疗者 41例。选择 Letournel分型标准判断损伤病理改变,按照 Harris疗效标准评价关节功能。共有简单骨折 37例,复杂骨折 49例。多发伤 45例,合并股骨头、颈骨折和 (或 )股骨头后脱位者共 36例,并发坐骨神经损伤者 15例。结果全组 86例患者中, 75例获得随访,平均随访 25.6个月。根据 Harris评分,优 31例 (41.3% ),良 13例( 17.3%),可 5例 (6.7% ),差 26例( 34.7%)。并发股骨头坏死 9例( 12%),创伤性关节炎 15例 (20% ),异位骨化 16例 (21.3% )。结论影响髋臼骨折疗效的主要因素包括骨折类型、患者年龄、治疗方法、手术时机、入路选择、复位质量、合并损伤、并发症等。通过手术内固定可明显改善关节功能,但复位质量不是决定远期疗效的惟一因素。保证预后满意的必要条件是: (1)患者年龄 < 45岁; (2)无创伤性股骨头后脱位; (3)术前借助牵引使股骨头部分复...

目的探讨影响髋臼骨折疗效的相关因素及其防治措施。方法回顾性总结 1990年 3月~ 2000年 3月收治的资料完整的髋臼骨折 86例,其中经牵引复位者 45例,手术治疗者 41例。选择 Letournel分型标准判断损伤病理改变,按照 Harris疗效标准评价关节功能。共有简单骨折 37例,复杂骨折 49例。多发伤 45例,合并股骨头、颈骨折和 (或 )股骨头后脱位者共 36例,并发坐骨神经损伤者 15例。结果全组 86例患者中, 75例获得随访,平均随访 25.6个月。根据 Harris评分,优 31例 (41.3% ),良 13例( 17.3%),可 5例 (6.7% ),差 26例( 34.7%)。并发股骨头坏死 9例( 12%),创伤性关节炎 15例 (20% ),异位骨化 16例 (21.3% )。结论影响髋臼骨折疗效的主要因素包括骨折类型、患者年龄、治疗方法、手术时机、入路选择、复位质量、合并损伤、并发症等。通过手术内固定可明显改善关节功能,但复位质量不是决定远期疗效的惟一因素。保证预后满意的必要条件是: (1)患者年龄 < 45岁; (2)无创伤性股骨头后脱位; (3)术前借助牵引使股骨头部分复位以改善血运并缓解对关节软骨压力;( 4)髋臼骨折术后残存移位≤ 3 mm; (5)尽量坚强内固定以便髋关节早期活动; (6)防治异位骨化,以免发生 BrookerⅢ、Ⅳ级病理?

Objective To discuss the treatment method and prognosis of posterior hip dislocation combined with femoral fractures. Methods Twenty nine patients who had been diagnosed as cases of posterior hip dislocation combined with femoral head fracture were reviewed, with their type of fracture, timing of treatment and method of treatment analyzed. Twenty seven (93.1%) of the 29 cases were followed up from 1987 to 2002 for an average period of seven years. Their prognosis was evaluated according to the...

Objective To discuss the treatment method and prognosis of posterior hip dislocation combined with femoral fractures. Methods Twenty nine patients who had been diagnosed as cases of posterior hip dislocation combined with femoral head fracture were reviewed, with their type of fracture, timing of treatment and method of treatment analyzed. Twenty seven (93.1%) of the 29 cases were followed up from 1987 to 2002 for an average period of seven years. Their prognosis was evaluated according to the x ray radiography and the function of hip joints. Results According to Pipkin IV classification, 13 cases were Pipkin Ⅰ(44.8%), 9 cases Pipkin Ⅱ(31%), 3 cases Pipkin Ⅲ(10%), and 4 cases Pipkin Ⅳ(14.2%). In type I, 9 cases were rated as excellent (33.3%), 2 good (7.4%), 1 fair (3.7%) and 0 poor (0%) by Harris hip score. In typeⅡ, 0 case was rated as excellent (0%), 2 cases good (7.4%), 4 fair (14.9%) and 2 poor (7.4%). In type Ⅲ, 1 case was rated as excellent, 0 good (0%), 1 fair (3.7%) and 1 poor (3.7%). In type Ⅳ, 0 case was rated as excellent (0%), 2 good (7.4%), 1 fair (3.7%) and 1 poor (3.7%). In all the 29 cases, those which needed total hip arthroplasty (THA) were four (13.7%). Conclusions The choice of treatment method should be determined by the mechanism of injury and the type of fracture. The factors ensuring a satisfactory prognosis are: (1) The age of the patients should be younger than 40 years. (2) Since a timely reduction can prevent the onset of avascular necrosis of femoral head, it should be finished within 12 hours after the injury, and the fixation should be done within 10 days. (3) In all types, early reduction of hip dislocation, early stabilization, anatomic reduction of the fracture should be achieved. (4) The prevention of possible complications should be taken into serious consideration.

目的探讨髋关节后脱位合并股骨头骨折的治疗方法与愈后。方法分析29例髋关节后脱位合并股骨头骨折患者的分型、治疗时间及治疗方式。27例获得随访(93.1%),随访时间1~15年(平均7年)。以X光平片及髋关节功能恢复情况评价其愈后。结果29例髋关节后脱位合并股骨头骨折患者按Pipkin分类法分型,Ⅰ型13例(占44.8%),Ⅱ型9例(占31%),Ⅲ型3例(占10%),Ⅳ型4例(占14.2%),对27例获得随访者按HHS(HarrisHipScore)功能评价标准,Ⅰ型中优为9例(占33.3%),良2例(占7.4%),可1例(占3.7%),差0例(占0%),Ⅱ型中优为0例(占0%),良2例(占7.4%),可4例(占14.9%),差2例(占7.4%),Ⅲ型中优1例(占3.7%),良0例(占0%),可1例(占3.7%),差1例(占3.7%),Ⅳ型中优0例(占0%),良2例(占7.4%),可1例(占3.7%),差1例(占3.7%),其中行人工全髋关节置换者4例(占总例数13.7%)。结论髋关节后脱位合并股骨头骨折的治疗方法应根据损伤机制、骨折脱位类型确定。其愈后取决于患者的年龄、治疗时间、骨折脱位类型、治疗方法以及预防并...

目的探讨髋关节后脱位合并股骨头骨折的治疗方法与愈后。方法分析29例髋关节后脱位合并股骨头骨折患者的分型、治疗时间及治疗方式。27例获得随访(93.1%),随访时间1~15年(平均7年)。以X光平片及髋关节功能恢复情况评价其愈后。结果29例髋关节后脱位合并股骨头骨折患者按Pipkin分类法分型,Ⅰ型13例(占44.8%),Ⅱ型9例(占31%),Ⅲ型3例(占10%),Ⅳ型4例(占14.2%),对27例获得随访者按HHS(HarrisHipScore)功能评价标准,Ⅰ型中优为9例(占33.3%),良2例(占7.4%),可1例(占3.7%),差0例(占0%),Ⅱ型中优为0例(占0%),良2例(占7.4%),可4例(占14.9%),差2例(占7.4%),Ⅲ型中优1例(占3.7%),良0例(占0%),可1例(占3.7%),差1例(占3.7%),Ⅳ型中优0例(占0%),良2例(占7.4%),可1例(占3.7%),差1例(占3.7%),其中行人工全髋关节置换者4例(占总例数13.7%)。结论髋关节后脱位合并股骨头骨折的治疗方法应根据损伤机制、骨折脱位类型确定。其愈后取决于患者的年龄、治疗时间、骨折脱位类型、治疗方法以及预防并发症的相关措施。

Objective To evaluate the long-term results of open reduction and internal fixation for the treatment of acetabular fracture,and discuss the factors which influence the long-term results Methods According to Letournel-Judet classification,23 cases were simple fractures,and 31 cases complex fractures.All fractures displaced more than 3 mm.16 cases were combined with posterior hip dislocation,13 cases with central hip dislocation,and 17 cases with femoral head damage.All the cases were treated...

Objective To evaluate the long-term results of open reduction and internal fixation for the treatment of acetabular fracture,and discuss the factors which influence the long-term results Methods According to Letournel-Judet classification,23 cases were simple fractures,and 31 cases complex fractures.All fractures displaced more than 3 mm.16 cases were combined with posterior hip dislocation,13 cases with central hip dislocation,and 17 cases with femoral head damage.All the cases were treated with open reduction and internal fixation.42 cases were operated within 2 weeks,12 cases were operated after 3 weeks of trauma.Results All cases were followed up with an average of 38 months,with Mattas joint function evaluation system and Libergall radiography evaluation system.The percent of successful outcomes was 79.6%.5 cases (9.3%) were treated with total hip replacement after 3 years.Conclusion Open reduction and internal fixation can result in a satisfactory clinical outcome.Four factors were found to influence the clinical outcome:Type of fractures(according to Letournel-Judet classification),cartilage damage of the femoral head,quality of reduction and operation time after trauma,which implies that traumatic degree of the acetabulum directly influences the prognosis.

目的 观察切开复位内固定治疗有移位髋臼骨折的远期疗效 ,并分析影响远期疗效的相关因素。方法 本组按Letournel Judet分型简单骨折 2 3例 ,复杂骨折 31例 ,骨折移位≥ 3mm ,合并髋关节后脱位 16例 ,中心性脱位 13例 ,股骨头软骨面损伤 17例。均采用切开复位钢板螺钉内固定 ,其中伤后 2周内手术 4 2例 ,3周后手术 12例。结果 术后平均随访 38个月 ,Matta关节评分 >15分、Liebergall影像学评价A、B的病例 4 3例 ,优良率 79 6 % ,3年后全髋置换 5例 ,占 9 3%。 结论 切开复位内固定能使髋臼恢复正常解剖形态 ,有利于关节功能的恢复 ,远期疗效较好 ;Letournel Judet骨折分型、股骨头软骨面是否损伤、骨折后手术时间以及复位质量是主要影响因素 ,提示髋臼创伤骨折的严重程度直接影响其预后。

 
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