中国骨伤2011，Vol.24Issue(2)：116-118,3.DOI:10.3969/j.issn.1003-0034.2011.02.006
经皮骶髂螺钉固定治疗垂直不稳定型骨盆骨折
Treatment of vertical unstable pelvic fracture by percutaneous iliosacral screws fixation
李绍光 1刘智 1李京生 1任继鑫 1孙天胜1
作者信息
摘要
Abstract
Objective: To retrospectively analyze the patients of vertically unstable pelvic fractures treated with percutaneous iliosacral screws fixation and to explore the operative techniques and its therapeutic efficacy.Methods: From June 2002 to August 2009,54 patients with vertical unstable pelvic fracture were fixed with percutaneous iliosacral screws.After operation,46 patients were followed up more than 18 monthes.Among them,32 patiens were male and 14 patiens were female,the average age was 36.4 years old (ranged from 19 to 64 years).The average time from injury to operation was 8.5 days (ranged from 7 to 11 days).All pelvic fractures had vertical dislocation ranging from 8 to 40 mm (averaged 28.5 mm).After admitted,all patients were applied bone traction.After recuction ,the fractures were fixed with percutaneous iliosacral 7.3 mm cannulated screws, wihich crossed the iliac and sacral-iliac joint and sacral promontory to S1 vertebrae.After operation, all patients took X-ray examination.The reduction and the fracture reduction were judged according to Matta critreion and clinical function was judged according to Majeed functional scoring.Results: Forty-six patients were followed up from 1.5 to 3 years with an average of 29 monthes.Fracture uninon was achieved in all patients.All patients got clinical recovery at mean time of 5.2 monthes and returned to nomal daily life.According to Matra critreion for fracture reduction ,the results were excellent in 40 cases and good in 6 cases.Accoding to Majeed functional sooring,32 patients were excellent, 12 good and 2 normal.There were no serious complications of vascular damage.Conclusion: Percutaneous iliosacral screw fixation is an effective technique with advantages of minimal invasive and faster recovery in the management of vertically unstable pelvic fractures.关键词
骨盆/骨折/骨折固定术,内/外科手术引用本文复制引用
李绍光,刘智,李京生,任继鑫,孙天胜..经皮骶髂螺钉固定治疗垂直不稳定型骨盆骨折[J].中国骨伤,2011,24(2):116-118,3.
