摘要: 目的 探讨改善髋臼骨折治疗效果及防治并发症的方法。 方法 本文髋臼骨折26例，其中骨折移位<3mm、关节腔内无碎骨块者11例，行骨牵引治疗;骨折移位>3mm、关节腔内有碎骨者15例，行手术治疗。 结果 随访24例(手术组14例，非手术组10例)20～72个月，按Matta标准，非手术组优9例，良1例;手术组优10例，良3例，可1例。轻中度异位骨化2例，轻度创伤性关节炎2例，术中坐骨神经损伤1例。 结论 绝大部分髋臼骨折需手术治疗，手术前明确骨折分类，把握手术时机，正确选择切口，满意的复位和坚强的内固定是提高疗效的关键。膝关节屈曲、松弛坐骨神经张力、良好的复位质量及减少手术创伤是预防并发症的有效措施。

    关健词: 髋臼骨折;治疗;并发症

    Treatment of acetabular fractures in26cases

    ZHANG Homg-liang

    (Department of Orthopaedics，Hospital Affiliated to Medical College，Shaoxing College of Arts and Sciences，Shaoxing 312000，China)

    Abstract: Objective To discuss the method for improving quality of treatment and preventation of complication of acetabular fractures.Methods We reviewed26cases of acetabulus fracture.Eleven cases of acetabular fracture without fragment bone in articular，and displaced less than3mm were treated by skeletal traction.Another15cases with fragment bone in anticular and displaced more than3mm were theated by surgery.Results The patients underwent20-72months follow-up.Based on Matta's evaluation ......