中国骨伤2017，Vol.30Issue(3)：213-216,4.DOI:10.3969/j.issn.1003-0034.2017.03.005
骨盆环不稳定性骨盆骨折的手术入路和内固定选择
Choices of the internal fixation and approaches on unstable pelvic ring fractures
毕大卫 1祖罡 1韩雷 1陈亿民 1马海涛 1胡钢锋 1朱元1
作者信息
- 1. 杭州市萧山区第一人民医院,浙江杭州311200
- 折叠
摘要
Abstract
Objective:To discuss the suitable surgical approach and the internal fixation of unstable pelvic pelvic fractures.Methods:From May 2010 to May 2015,45 patients with unstable pelvic fractures were treated with different approaches and fixations,including 38 males and 7 females with an average age of 45 years ranging from 21 to 61 years.The course was within 2 weeks.According to Young-Burg classification,23 patients were lateral compression injuries,6 patients were vertical shearing injuries,16 patients were anterior-posterior compression injuries.All patients had hip pain and limitation of motion,the X-rays showed the pelvic ring fracture.Results:All wounds healed well without complications,45 cases were followed up for a mean period of 13 months (ranged 9 to 21 months).Patients with hip pain had a good postoperative pain relief.The postoperative X-rays showed the reduction was satisfied and the pelvic ring shaped well.According to Majeed standards,the final follow-up score was 93.5±11.6,35 cases got excellent results,8 were good,2 were fare.Conclusion:The unstable pelvic and acetabular fractures are always with compound injury.Beside the reduction,to decrease the second surgery trauma should take into consideration as well,the intra-articular reduction and the stability of the pelvic were especially valued,so combined the different approach with minimal invasive technique can get good clinical result.关键词
骨盆/骨折/手术入路/骨折固定术,内Key words
Pelvis/Fractures/Operative approach/Fracture fixation,internal引用本文复制引用
毕大卫,祖罡,韩雷,陈亿民,马海涛,胡钢锋,朱元..骨盆环不稳定性骨盆骨折的手术入路和内固定选择[J].中国骨伤,2017,30(3):213-216,4.
