Liebergall M, Lowe J, Whitelaw G P, Wetzler M J, Segal D
Department of Orthopaedic Surgery, Hadassah University Hospital, Jerusalem, Israel.
J Bone Joint Surg Br. 1992 Jan;74(1):93-100. doi: 10.1302/0301-620X.74B1.1732275.
A consecutive series is reported of 17 patients who underwent early surgical treatment for acetabular or unstable pelvic fractures associated with ipsilateral fractures of the femur. Treatment included external and internal fixation, and required careful consideration of the surgical approach and the positioning of the patient. The multiple injuries sustained by these patients required simultaneous procedures by several surgical teams. All the femoral fractures were internally fixed at the initial operation and eight patients had primary definitive treatment of all their other fractures as well. In nine patients the definitive treatment of their other fractures was delayed for an average of 11 days. There were no deaths, and no serious infections. The long-term morbidity resulted from the associated injuries and not from the pelvic or femoral fractures.
报道了一组连续的17例患者，他们因髋臼骨折或不稳定骨盆骨折合并同侧股骨骨折而接受了早期手术治疗。治疗方法包括外固定和内固定，需要仔细考虑手术入路和患者体位。这些患者的多处损伤需要多个手术团队同时进行手术。所有股骨骨折均在初次手术时进行了内固定，8例患者的所有其他骨折也得到了一期确定性治疗。9例患者其他骨折的确定性治疗平均推迟了11天。无死亡病例，也无严重感染。长期并发症是由合并伤引起的，而非骨盆或股骨骨折所致。
