点状切口插入钢板复位固定耻骨支骨折

目的：设计点状切口插入钢板固定耻骨支骨折,探讨其治疗效果。方法：选择2002年至2005年不稳定性骨盆损伤患者10例18个耻骨支,男8例15个耻骨支,女2例3个耻骨支;年龄24～56岁,平均37.2岁。按Tile分型：B1型1例,B2型6例,C1型3例。受伤距手术治疗时间4～14d,平均8.7d。将常规腹股沟切口分解为2～3个点状切口,经点状切口行耻骨支内固定,观察治疗效果。结果：经28个点状切口顺利完成18个耻骨支骨折内固定,平均每点状切口失血30ml,完成一个耻骨支固定时间45min,术后功能经Majeed骨盆骨折评价标准评分属优。结论：经点状切口可以完成耻骨支内固定,手术创伤相对常规腹股沟开放切口小,术后并发症少,功能恢复好。

Reduction and fixation of fracture of pubic rami by inserting construction plate through the punctiform-incision approach

Objective: To observe the effect of pubic fractures reducted and fixed thorough the punctiform incision approach. Methods: From 2002 to 2005,10 cases with 18 fractures of pubis rami(8 male and 2 femal)were treated with inserting construction plate by the punctiform incision approach. The average age of these patients was 37.2 years (range,24 to 56 years). The mean duration between injury and operation was 8.7 days(range,4 to 14 days). Results: Internal fixation for eighteen pubis fractures were accomplished by 28 punctiform incisions. The blood loss for each incision was averagely 30 ml,operation time of each pubic was about 45 minutes. Function restoration was evaluated by Majeed' score and all patients gained excellent result. Conclusion: The fracture of pubic rami can be fixed sucessfully by punctiform incision approach. It provides smaller incision,less postoperative complications and excellent function rehabilitation.