Engelhardt P
Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen.
Orthopade. 1992 Nov;21(6):422-6.
Pelvic girdle injuries leading to anterior and posterior disruption are rarely seen in children. External fixation is useful to reduce and stabilize the pelvis in order to control massive blood loss due to severe venous bleeding. The anterior tension band element of the external fixator can successfully maintain reduction of the pelvic girdle. Dislocation or fracture dislocation of the sacroiliacal joint cannot be reduced with simple traction techniques. Leg length discrepancy is to be expected when the hemipelvis is displaced. Seven cases of this rare injury in children are presented together with the late outcome. Treatment modalities are discussed.
儿童骨盆带损伤导致前后方分离的情况很少见。外固定有助于复位和稳定骨盆，以控制因严重静脉出血导致的大量失血。外固定器的前张力带元件能够成功维持骨盆带的复位。骶髂关节脱位或骨折脱位无法通过简单的牵引技术复位。当半侧骨盆移位时，预计会出现腿长差异。本文报告了7例儿童这种罕见损伤的病例及远期结果，并讨论了治疗方式。
