陈旧性骨盆骨折的手术治疗：附24例报告
[Operative treatment of old pelvic fractures: a report of 24 cases].
作者信息
Wang Yu-Si, Xu Yong-Qiang, Wei Lei-Ping, Yan Ge, Kang Yi-Feng, Huang Yan
机构信息
Department of Orthopaedics, People's Hospital of Hunan Province, Changsha 410002, Hunan, China.
出版信息
Zhongguo Gu Shang. 2012 Feb;25(2):162-4.
OBJECTIVE
To explore the clinical results of surgical treatment for old pelvic fractures with reconstruction plate.
METHODS
From February 2000 to February 2011, 24 patients with old pelvic fractures were treated with internal fixation with reconstruction plates. There were 10 males and 14 females, with an average age of 42 years (ranged, 20 to 62 years). The time from injury to operation was from 23 to 64 days with an average of 35 days. X-rays and CT scanning were performed in all patients. According to classification of Tile, Tile C was in 11 cases and Tile B was in 13 cases.
RESULTS
Eighteen patients were followed up for 6 to 48 months with an average of 24 months. According to Majeed criteria, 9 cases obtained excellent results, 5 good, 4 fair, with average score of (84.4 +/- 11.5).
CONCLUSION
Positively operative treatment, exactly preoperative evaluation, correctly reduction and fixation can obtain satisfactory results in treating old pelvic fractures.
目的
探讨采用重建钢板手术治疗陈旧性骨盆骨折的临床效果。
方法
2000年2月至2011年2月，对24例陈旧性骨盆骨折患者采用重建钢板内固定治疗。其中男性10例，女性14例，平均年龄42岁（20至62岁）。受伤至手术时间为23至64天，平均35天。所有患者均行X线及CT扫描。按照Tile分型，Tile C型11例，Tile B型13例。
结果
18例患者获随访6至48个月，平均24个月。按照Majeed标准，优9例，良5例，可4例，平均评分（84.4±11.5）。
结论
积极的手术治疗、准确的术前评估、正确的复位与固定可使陈旧性骨盆骨折的治疗获得满意疗效。
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