Tee S S, Hyzan Y, Razak M
Department of Orthopaedic and Traumatology, Hospital Universiti Kebangsaan Malaysia, Jalan Tenteram, Cheras, 56000 Kuala Lumpur.
Med J Malaysia. 2000 Sep;55 Suppl C:49-58.
Between January 1996 and August 1998, 15 patients with pelvic ring injuries were treated by open reduction and internal fixation. Fractures types included Tile A1 (7%), B1 (33%), C1 (53%) and C3 (7%). The patients were observed for an average of 1 year (range: 5 to 21 months). Thirteen patients (87%) who were operated within 3 weeks after injury had their pelvic disruption healed. One patient with Tile C1 and non-union of the fracture dislocation of sacroiliac joint was operated 11 months after injury and developed implant failure and non-union of the fracture dislocation of sacroiliac joint. Another patient with Tile C1 injury with transforamina sacral fracture was fixed anteriorly only and developed non-union of the sacral fracture and redisplacement of pelvic disruption. Both of them had a poor functional outcome. A 40 points pelvic outcome grading scale (Cole et al 1996) based on physical examination, pain, radiographic analysis and activity/work status was used. Six patients (40%) (1 Tile A1, 5 Tile B1) had an excellent functional outcome. Seven patients (47%) (6 Tile C1, 1 Tile C3) had a good functional outcome.
1996年1月至1998年8月期间，15例骨盆环损伤患者接受了切开复位内固定治疗。骨折类型包括Tile A1型（7%）、B1型（33%）、C1型（53%）和C3型（7%）。患者平均观察1年（范围：5至21个月）。13例（87%）在受伤后3周内接受手术的患者骨盆骨折愈合。1例Tile C1型患者，骶髂关节骨折脱位不愈合，受伤11个月后接受手术，出现内植物失败及骶髂关节骨折脱位不愈合。另1例Tile C1型患者合并经骶孔骶骨骨折，仅行前路固定，出现骶骨骨折不愈合及骨盆骨折再移位。这2例患者功能结局均较差。采用基于体格检查、疼痛、影像学分析及活动/工作状态的40分骨盆结局评分量表（Cole等，1996年）。6例患者（40%）（1例Tile A1型，5例Tile B1型）功能结局优秀。7例患者（47%）（6例Tile C1型，1例Tile C3型）功能结局良好。
