内固定治疗不稳定性骨盆骨折23例

探讨非稳定性骨盆环骨折的内固定治疗 2 3例。随访 6个月～ 3年 ,根据MattaX线标准评价结果 :优良率达 91 3 %。对 1 1例下肢短缩者采用Matta骨盆X片测量法 ,术前平均短缩 1 4mm ,术后平均 1mm。认为下肢短缩测量应作为评价骨盆骨折的一项重要指标。骨盆骨折一旦血液动力学稳定应尽早作内固定术。耻骨支骨折不需要内固定 ,膀胱破裂不是前路骨盆环损伤内固定禁忌证。松质骨拉力螺钉在骶髂关节固定中可在骨折或脱位之间产生一种有效的拉力 ,使之压缩复位 ,固定可靠

Discussion on the Internal Fixation for the Unstable Pelvic Fracture

This article discusses 23 cases of the unstable pelvic fracture by internal fixation All cases were followed-up for six months to 3 years The rate of excellent and good results was 91 3%,according Matta X-ray evaluation standard,11 cases of lower-limbs shortened before operation are 14 mm,and after operation it is 1 mm in average Matta pelvic X-ray surveying method which might be regarded as the important evaluation means for pelviec-fracture The author belived that the earlier treatment of internal fixation should be made as soon as the hemodynamics is stable The internal fixation is not needed for Os pubic fracture The break of urinary bladder does not belong to the contraindication of anterior rout approach internal fixation The cancelloas bone-screw may produce effecient pulling force for fracture or dislocation of sacro-iliac joint,which may induce effective press reduction of the dislocation and fix firmly