McCormack Richard, Strauss Eric J, Alwattar Basil J, Tejwani Nirmal C
Department of OrthopaedicSurgery, NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003, USA.
Bull NYU Hosp Jt Dis. 2010;68(4):281-91.
The diagnostic and therapeutic modalities utilized in the management of pelvic ring fractures depend on patient characteristics, mechanism of injury, and hemodynamic status at the time of presentation. Knowledge of the complex anatomy and biomechanics of pelvic stability may guide appropriate initial management strategies. Even with the development of specific treatment algorithms and advances in both diagnostic and operative techniques, fractures of the pelvis continue to cause significant morbidity and mortality. The current paper reviews the diagnosis and management of pelvic ring fractures, focusing on current concepts with respect to initial assessment and treatment protocols, including the identification of associated injuries and emergency methods of provisional pelvic stabilization.
骨盆环骨折治疗中所采用的诊断和治疗方式取决于患者的特征、损伤机制以及就诊时的血流动力学状态。了解骨盆稳定性的复杂解剖结构和生物力学知识，有助于指导恰当的初始治疗策略。即便有了特定的治疗算法以及诊断和手术技术的进步，骨盆骨折仍会导致严重的发病率和死亡率。本文综述了骨盆环骨折的诊断和治疗，重点关注初始评估和治疗方案的当前理念，包括相关损伤的识别以及骨盆临时稳定的急救方法。
