Zimmermann T, Patzak H J, Kelm C, Flechsenhar K, Kunze K
Unfallchirurgische Klinik, Justus-Liebig-Universität Giessen.
Eur J Pediatr Surg. 1992 Dec;2(6):348-51. doi: 10.1055/s-2008-1063476.
The three osseous parts of the human pelvis form a continuous structure because of the symphysis and both iliosacral joints that-owing to their mobility-make possible a shock-absorption of vertical forces. The goal in the treatment of ruptures of the symphysis and/or of the sacroiliac joints is the restoration of functioning joints. Especially in the adolescent, a stiffening of these joints has to be avoided. Therefore, we treat ruptures of the pelvic joints with an overbridging banding that preserves the function of shock absorption. Due to utilisation of a banding, made up of polydioxanone, another operation to remove internal fixation material is not necessary. Rupture of the symphysis or iliosacral joint in the pediatric patient is very rare. Only three among the 67 patients whom we operated on because of a rupture of the symphysis or iliosacral joints between 1984 and 1990 were children. These were an eleven-year-old girl and a nine-year-old boy, who had suffered a rupture of the symphysis, and an eight-year-old boy with a disrupted iliosacral joint. In these children a banding with PDS suture was performed. At a follow-up examination, the children were free from pain and did not feel restricted in their daily routine or their physical activities.
人类骨盆的三个骨性部分形成一个连续的结构，这是由于耻骨联合和两个髂骶关节，由于它们的活动度，使得垂直力的减震成为可能。耻骨联合和/或骶髂关节破裂的治疗目标是恢复关节功能。特别是在青少年中，必须避免这些关节僵硬。因此，我们采用桥式绑扎治疗骨盆关节破裂，以保留减震功能。由于使用了由聚二氧六环酮制成的绑扎带，无需进行另一次手术来取出内固定材料。小儿患者耻骨联合或髂骶关节破裂非常罕见。在1984年至1990年间因耻骨联合或髂骶关节破裂而接受手术的67例患者中，只有3例是儿童。他们是一名11岁女孩和一名9岁男孩，均发生了耻骨联合破裂，还有一名8岁男孩，其髂骶关节脱位。对这些儿童进行了聚二氧六环酮缝线绑扎。在随访检查中，孩子们没有疼痛，在日常生活或体育活动中也没有感到受限。
