Waikakul S, Vanadurongwan V, Sakarnkosol S
Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Injury. 1998 Dec;29(10):763-7. doi: 10.1016/s0020-1383(98)00181-8.
Reduction of unstable pelvic fracture by external fixator might be over or under corrected as there is no proper estimation from the surgical landmark. Radiographic evaluation after reduction must be carried out and improper reduction is found in a certain number. To find a better guide by normal surgical landmark the study was carried out as a survey research in 600 volunteers aged from 10 to 70 years. Simple caliper and tape were used to measure the height, foot length and inter anterior superior iliac spine distance. In 376/420 male volunteers (89%), the length between right heel and tip of the fourth toe was equal to the inter anterior superior iliac spine distance. In 173/180 female volunteers (96%), the length between right heel and tip of big toe was equal to the inter anterior superior iliac spine distance. The length of the right foot can be used as a reference in reducing unstable fractured pelvis by external fixation. These data were used in the management of 36 patients with unstable fractured pelvis with external fixation for reduction and stabilization. All had good results.
由于缺乏来自手术标志的准确评估，使用外固定器复位不稳定骨盆骨折可能会过度矫正或矫正不足。复位后必须进行影像学评估，并且发现一定数量的复位不当情况。为了通过正常手术标志找到更好的指导方法，对600名年龄在10岁至70岁之间的志愿者进行了一项调查研究。使用简单卡尺和卷尺测量身高、足长和髂前上棘间距。在376/420名男性志愿者（89%）中，右足跟至第四趾尖的长度等于髂前上棘间距。在173/180名女性志愿者（96%）中，右足跟至大脚趾尖的长度等于髂前上棘间距。右脚长度可作为外固定复位不稳定骨盆骨折的参考。这些数据用于36例不稳定骨盆骨折患者的外固定复位和稳定治疗。所有患者均取得了良好效果。
