切开复位内固定治疗桶柄样骨盆骨折

目的 探讨桶柄样骨盆骨折手术治疗方法，以提高桶柄样骨盆骨折的治愈率。方法切开复位内固定治疗56例桶柄样骨盆骨折。骨盆前环：经Pfannenstiel入路固定24例，其中9例予以1块骨盆重建钢板固定，骨盆重建钢板固定结合耻骨上支髓内螺钉固定9例，6例予以2块骨盆重建钢板固定；Pfannenstiel入路结合部分髂腹股沟入路予以1块骨盆重建钢板固定32例。骨盆后环：39例经患侧髂嵴入路以骨盆重建钢板固定，10例骶骨骨折经皮骶髂关节螺钉固定，7例未行后骨盆固定。结果56例均获随访，时间12—32（18±3．5）个月，骨性愈合时间5～9（6±1．2）个月，无下肢不等长，骨盆畸形基本纠正。按Majeed疗效评定标准：优38例，良14例，可1例，优良率为92．9％。结论前后联合人路，切开复位内固定治疗桶柄样骨盆骨折可以取得满意效果。

Open reduction and internal fixation for bucket handle fractures of pelvis

Objective To investigate the operative methods of bucket handle fractures of pelvis in order to improve the healing rate of bucket handle fractures of pelvis.Methods Fifty-six patients with bucket handle fractures of pelvis have been treated by open reduction and internal fixation.In anterior pelvic fractures: 24 cases of anterior pelvic fractures have been fixed through Pfannenstiel operative approach,9 cases of which were fixed by one reconstructed plate,9 cases by reconstructed plate and superior ramus o...