髋臼骨折术后继发创伤性关节炎的相关危险因素
| 作者: |
1程辉,
1王飞,
1从凯,
1李善龙,
1尚剑
1 哈尔滨医科大学附属第一医院骨一科，哈尔滨 150000 |
| 通讯: |
尚剑
Email: shj1616@sina.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.08.037 |
摘要
髋臼骨折的手术治疗难度大，术后常出现创伤性关节炎等多种并发症。众学者通过有限元技术、生物力学的模拟分析、髋臼骨折术后患者的回顾性研究等方法研究发生创伤性关节炎的影响因素，证实髋臼骨折复位质量与术后劳动强度对创伤性关节炎的发生有重大影响，对骨折类型、手术方式、手术时机、髋关节脱位、软骨损伤等也有部分影响。现对髋臼骨折术后继发创伤性关节炎的影响因素及诊断作一综述，为创伤性关节炎的预防提供参考。
关键词：
髋臼骨折；负重区；台阶移位；影响因素；创伤性关节炎
Influencing factors of traumatic arthritis after acetabular fracture surgery
CorrespondingAuthor: SHANG Jian Email: shj1616@sina.com
DOI: 10.3978/j.issn.2095-6959.2021.08.037
Abstract
Surgical treatment of acetabular fractures is difficult, and various complications often occur after surgery, such as traumatic arthritis, etc. The scholars have studied the influencing factors of traumatic arthritis through finite element technology, biomechanical simulation analysis, retrospective study of patients after acetabular fracture surgery, and confirmed that: the quality of reduction of the acetabular fracture and the intensity of postoperative labor have a major impact on the occurrence of traumatic arthritis, and have a partial impact on the type of fracture, operation method, timing of surgery, hip dislocation and cartilage damage. This article reviews the influencing factors and diagnosis of traumatic arthritis after acetabular fracture operation, and provides reference for the prevention of traumatic arthritis.
Keywords：
acetabular fracture; weight-bearing area; step-off displacement; influencing factors; traumatic arthritis