Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai Jiaotong University School of Medicine, No. 600, Yishan Rd, Shanghai, 200011, People's Republic of China.
Int Orthop. 2013 Aug;37(8):1547-54. doi: 10.1007/s00264-013-1954-x. Epub 2013 Jun 12.
Fractures of the pubic rami due to low energy trauma are common in the elderly, with an incidence of 26 per 100,000 people per year in those aged more than 60 years. The purpose of this study was to evaluate the clinical application of this minimally invasive technique in patients with pubic ramus fractures combined with a sacroiliac joint complex injury, including its feasibility, merits, and limitations.
Fifteen patients with pubic ramus fractures combined with sacroiliac joint injury were treated with the minimally invasive technique from June 2008 until April 2012. The quality of fracture reduction was evaluated according to the Matta standard.
Fourteen cases were excellent (93.3 %), and one case was good (6.7 %). The fracture lines were healed 12 weeks after the surgery. The 15 patients had follow-up visits between four to 50 months (mean, 22.47 months). All patients returned to their pre-injury jobs and lifestyles. One patient suffered a deep vein thrombosis during the peri-operative period. A filter was placed in the patient before the surgery and was removed six weeks later. There was no thrombus found at the follow-up visits of this patient.
The minimally invasive technique in patients with pubic ramus fractures combined with a sacroiliac joint complex injury provided satisfactory efficacy.
低能创伤导致的耻骨支骨折在老年人中较为常见，60 岁以上人群的发病率为每 10 万人每年 26 例。本研究旨在评估微创技术在耻骨支骨折合并骶髂关节复合体损伤患者中的临床应用，包括其可行性、优点和局限性。
2008 年 6 月至 2012 年 4 月，采用微创技术治疗 15 例耻骨支骨折合并骶髂关节损伤患者。根据 Matta 标准评估骨折复位质量。
14 例为优（93.3%），1 例为良（6.7%）。术后 12 周骨折线愈合。15 例患者随访 4 至 50 个月（平均 22.47 个月）。所有患者均恢复至伤前工作和生活状态。1 例患者在围手术期发生深静脉血栓形成，术前放置滤网，6 周后取出。该患者在随访中未发现血栓。
微创技术治疗耻骨支骨折合并骶髂关节复合体损伤疗效满意。
