Guo Xiao-shan, Chi Yong-long
Department of Orthopaedics, the Second Affiliated Hospital of Wenzhou Medical College, Zhejiang 325027, China.
Zhonghua Wai Ke Za Zhi. 2006 Feb 15;44(4):260-3.
To introduce the operation indication, operation fashion, operation time, mainipulation point, and treatment effect of pelvic ring disruptions with percutaneous fixation.
Fifty-eight patients with pelvic ring disruptions were treated with sacroiliac screws, pubic ramus screws or pubic tubercle screws and iliac wing screws, and the effects was evaluated.
Among the 58 patients, the result of reductions in 52 cases was satisfied, 6 cases was dissatisfied; fracture point in 57 cases was healed up, 1 case disconnect; vessel and nerve was not injured in 56 cases, S(1) nerve root was injured in 2 case, bequeathing anaesthesia of lower limbs and saddle area.
The technique with percutaneous fixations is minitraumatic and reliable to fix the pelvic ring disruptions with little bleeding. These percutaneous techniques have a good outlook. Bone tractions with big weight before operation make for reductions in operation.
介绍经皮固定治疗骨盆环损伤的手术适应证、手术方式、手术时间、操作要点及治疗效果。
采用骶髂螺钉、耻骨支螺钉或耻骨结节螺钉联合髂翼螺钉治疗58例骨盆环损伤患者，并对其效果进行评估。
58例患者中，复位效果满意52例，不满意6例；骨折愈合57例，未愈合1例；血管神经未损伤56例，S(1)神经根损伤2例，遗留下肢及鞍区麻木。
经皮固定技术治疗骨盆环损伤创伤小、固定可靠、出血少，具有良好的应用前景。术前大重量骨牵引有利于术中复位。
