Vanderschot P, Craninx L, Rommens P, Broos P
Afdeling Traumatologie en Spoedgevallenheelkunde, Katholieke Universiteit Leuven.
Acta Chir Belg. 1991 Sep-Oct;91(5):250-7.
Unstable pelvic ring fractures, during the first days post-trauma, are potentially life-threatening lesions. In the long term, these lesions can lead to important functional deficits. 44 patients with an unstable pelvic ring fracture were included in this study. 35 of which were reevaluated after an average of 19 months. It is demonstrated that a rapid stabilisation of the pelvic ring fracture decreases the mortality and that after surgical intervention, the M. Tile Fracture Classification is of prognostically significant value with respect to the functional outcome. Type B fractures, which are only rotationally unstable, have a better final functional result compared with the Type C fractures with rotational and vertical instability. There exists a significant difference between the two groups.
不稳定骨盆环骨折在创伤后的头几天是潜在的危及生命的损伤。从长远来看,这些损伤会导致严重的功能缺陷。本研究纳入了44例不稳定骨盆环骨折患者。其中35例在平均19个月后进行了重新评估。结果表明,骨盆环骨折的快速稳定可降低死亡率,并且手术干预后,Tile骨折分类对于功能结局具有预后显著价值。仅旋转不稳定的B型骨折与具有旋转和垂直不稳定的C型骨折相比,最终功能结果更好。两组之间存在显著差异。