生物骨科材料与临床研究2023，Vol.20Issue(6)：52-55,61,5.DOI:10.3969/j.issn.1672-5972.2023.06.010
腰髂固定联合经皮骨盆前环固定治疗垂直旋转不稳定型骨盆环骨折
Treatment of unstable pelvic ring injury by posterior lumbo-iliac fixation combined with minimally invasive percutaneous anterior pelvic ring internal fixation
摘要
Abstract
Objective To investigate the short-term clinical effect of lumbo-iliac fixation combined with percutaneous anterior pelvic ring fixation in the treatment of vertically rotating unstable pelvic ring fractures.Methods Patients with unstable pelvic ring injury who were treated with anterior subcutaneous internal fixation(INFIX)combined with posterior lumbar inter-pelvic internal fixation were collected and analyzed retrospectively from September 2018 to January 2022.The Matta standard was used to evaluate the quality of pelvic reduction,and the Majeed score was used to evaluate the clinical outcomes of patients.Further evaluation included surgical time,intraoperative blood loss,and incidence of complications.Results The average follow-up time of patients was 12.6 months(6-18 months).The average operation time and intraoperative blood loss were 117.6 min(96-162 min)and 203.6 mL(146-280 mL)respectively for anterior subcutaneous INFIX combined with posterior lumbar inter-pelvic internal fixation.The excellent and good rate of reduction quality was 86.8%(25 cases were excellent,8 cases were good,5 cases were average,and 0 case was poor).There was no sign of heterotopic ossification.At the last follow-up,the clinical results of Majeed's score showed that the excellent and good rate was 84.2%(excellent in 28 cases,good in 4 cases,general in 4 cases,poor in 2 cases).A total of 6 patients with sacral nerve root injury underwent intraoperative decompression,and the symptoms of 5 patients improved.Two cases of infection after anterior INFIX were improved after 4 weeks of internal fixation.Lateral femoral cutaneous nerve stimulation in 3 cases.Conclusion The treatment of vertically rotating unstable pelvic ring fracture with lumbo-iliac fixation combined with percutaneous anterior pelvic ring fixation has the advantages of short operation time,less bleeding and less intraoperative soft tissue damage,and the short-term clinical effect is satisfactory.关键词
骨盆环/腰髂固定/前路固定/微创Key words
Pelvic ring/Lumbo-iliac fixation/Anterior fixation/Minimally invasive分类
医药卫生引用本文复制引用
赵清斌,李祖涛,殷剑,肖伟,孙俊刚,周文正..腰髂固定联合经皮骨盆前环固定治疗垂直旋转不稳定型骨盆环骨折[J].生物骨科材料与临床研究,2023,20(6):52-55,61,5.基金项目
新疆维吾尔自治区自然科学基金青年科学基金项目(2022D01C147) （2022D01C147）
