切开复位内固定治疗不稳定骨盆骨折

目的：总结不稳定骨盆骨折手术方法和疗效。方法：入路：前环采用横切口或髂腹股沟切门，后环用骶髂前入路或后入路。固定方法：对于髂骨骨折、耻骨联合分离或耻骨上支骨折，采用钢板固定于髂骨内板、耻骨联合上方或前方和耻骨支上方；对于髂骨后部骨折、骶髂关节分离或骶骨骨折采用前路钢板、后路骶骨棒和骶髂关节螺钉固定。结果：87例病人，随访3个月～5年，97％的病人满意。结论：切开复位内固定是不稳定骨盆骨折的可靠治疗方法，术前应特别重视纠正骨盆骨折内出血。

Open reduction and internal fixation(ORIF)of unstable pelvic fractures

Objective:To study the methods and clinical results of ORIF for the pelvic fractures.Methods:Pfannenstiel transverse skin incision or ilioinguinal approach were used to expose anterior pelvic ring and sacroiliac anterior and posterior approach to expose posterior pelvic ring.Plates and screws were used to fix the iliac wing fracture,pubic symphysis and rami fractures.Fractures or dislocations at sacral/sacroiliac region,posterior iliac wing were fixed with plates and screws along the anterior approach,sacral rods and sacroiliac screws along posterior approach.Results:Eighty-seven patients were followed-up from 3 months to 5 years with satisfaction of 97% cases.Conclusion:ORIF is a reliable method to treat unstable pelvic fractures.The correction of preoperative internal bleeding of the fracture should be paid attention to.