Tscherne H, Pohlemann T
Medizinische Hochschule Hannover, Unfallchirurgie, Bundesrepublik Deutschland.
Langenbecks Arch Chir Suppl Kongressbd. 1991:491-6.
Unstable Fractures of the pelvic girdle should be stabilized as soon as possible. Use of standardized protocols for primary assessment and operative procedures can minimize complications and help to optimize clinical results after pelvic or acetabular fractures. The different methods of internal stabilization are not yet ideal but new developments are under way. A trend towards screw fixation can be seen in both pelvic and acetabular surgery, as well as a tendency to "localized" stabilization using small fragment implants to avoid unnecessary transfixations of pelvic joints.
骨盆带不稳定骨折应尽快进行稳定处理。采用标准化的初步评估和手术操作方案可将并发症降至最低,并有助于优化骨盆或髋臼骨折后的临床效果。目前,内固定的不同方法尚不理想,但新的进展正在进行中。在骨盆和髋臼手术中都可以看到向螺钉固定发展的趋势,以及使用小碎片植入物进行“局部”稳定的趋势,以避免不必要的骨盆关节穿通固定。