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陈旧性旋转及垂直不稳定骨盆骨折的手术治疗
引用本文:赵明杰 刘宁 林宏生 徐荣明. 陈旧性旋转及垂直不稳定骨盆骨折的手术治疗[J]. 第一军医大学学报, 2005, 25(6): 739-741
作者姓名:赵明杰 刘宁 林宏生 徐荣明
作者单位:[1]暨南大学附属第一医院骨科,广东广州510630 [2]宁波市第六人民医院骨科,浙江宁波315010
摘    要:目的探讨陈旧性旋转及垂直不稳定骨盆骨折手术治疗的效果。方法 本组9例采用骶髂关节前后联合入路切开复位手术治疗。结果 随访6-30月,骨盆骨折均获良好复位。临床功能恢复满意,9例患均下地行走,8例无腰腿痛,患肢缩短等并发症。结论 骶髂关节前后联合入路手术可有效复位固定旋转及垂直不稳定骨盆性折,矫正畸形,重建骨盆环的稳定性。

关 键 词:骨盆骨折/外科学 骶髂关节 复位

Surgical management of old vertical unstable pelvic fractures]
Ming-jie Zhao,Ning Liu,Hong-sheng Lin,Rong-ming Xu. Surgical management of old vertical unstable pelvic fractures][J]. Journal of First Military Medical University, 2005, 25(6): 739-741
Authors:Ming-jie Zhao  Ning Liu  Hong-sheng Lin  Rong-ming Xu
Affiliation:Department of Orthopedics, First Affiliated Hospital, Jinan University, Guangzhou 510630, China.
Abstract:OBJECTIVE: To study the therapeutic effect of open reduction and internal fixation in the management of old vertical unstable pelvic fractures. METHODS: In the 9 cases with surgical treatment for pelvic fractures, combination of the anterior and posterior approaches was adopted. RESULTS: In the follow-up lasting for 6-30 months, all pelvic fractures were reduced satisfactorily. The 9 patients were able to walk and 8 of them gained good clinical recovery without complications. CONCLUSION: In the management of old vertical unstable pelvic fractures, a stable pelvis can be reconstructed by effective open reduction and internal fixation through combination of the anterior and posterior approaches, so that further sequelae can be reduced.
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