中国现代手术学杂志2017，Vol.21Issue(6)：428-431,4.DOI:10.16260/j.cnki.1009-2188.2017.06.008
经皮内固定治疗复合创伤骨盆前环骨折
Percutaneous Internal Fixation for Anterior Ring Pelvic Fractures in Complex Injury
史风雷 1王琨 1吕夫新 1孙正考1
作者信息
- 1. 山东大学齐鲁医院(青岛)创伤骨科,青岛266035
- 折叠
摘要
Abstract
Objective To explore the effect of percutaneous anterior pelvic internal fixation (APIF) in the treatment of complex injuries.Methods A total of 17 complex injury cases with unstable anterior ring pelvic fractures admitted from January 2012 to May 2015 were analyzed retrospectively.According to Tile classification,there were 7 cases(7 laterals) of type B1,5 cases(6 laterals) of B2,2 cases(3 laterals) of C1,2 cases(4 laterals) of C2 and 1 case of bilateral transverse acetabular fracture.All anterior ring pelvic fractures were treated by APIF.The symphysis pubis was exposed and consensual traction reduction was performed,the internal fixation of plate was carried out by the subcutaneous tunnel via the incision of anterior superior iliac spine.Results All 17 cases accomplished the surgery of APIF with 23 minutes of the average operative time (ranged from 20 to 50) and 38 ml of intraoperative blood loss (ranged from 20 to 120).All 17 cases were followed up for 6 to 24 months with an average of 11 months.The outcomes revealed excellent in 13 fractures,good in 8 fractures and fair in 1 fracture according to Matta's criteria.The fracture healing time was 8 to 12 weeks with an average of 10 weeks.There was no complication as fracture nonunion,delayed union,internal fixation failure and iatrogenic neurovascular injury.The irritation of lateral femoral cutaneous nerve occurred in 2 cases and recovered spontaneously in 4 weeks.Subcutaneous foreign body sensation was found in 5 cases and disappeared after removal of internal fixators.Conclusion Percutaneous APIF is safe,mini-traumatic and reliable for unstable anterior ring pelvic fractures in complex injury without the necessity of neurovascular structures dissection.关键词
骨盆骨折/骨盆环/骨折固定术,内/经皮内固定术Key words
pelvic fractures/pelvic ring/fracture fixation, internal/percutaneous internal fixation分类
医药卫生引用本文复制引用
史风雷,王琨,吕夫新,孙正考..经皮内固定治疗复合创伤骨盆前环骨折[J].中国现代手术学杂志,2017,21(6):428-431,4.
