Wong James Min-Leong, Bucknill Andrew
The Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.
The Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.
Injury. 2017 Apr;48(4):795-802. doi: 10.1016/j.injury.2013.11.021. Epub 2013 Dec 2.
Traumatic disruptions of the pelvic ring are high energy life threatening injuries. Management represents a significant challenge, particularly in the acute setting in the presence of severe haemorrhage. Initial management is focused on preserving life by controlling haemorrhage and associated injuries. Advances in prehospital care, surgery, interventional radiology and the introduction of treatment algorithms to streamline decision making have improved patient survival. As more patients with unstable pelvic injuries survive, the poor results associated with nonoperative management and increasing patient expectations of outcome are making surgical management of these fractures increasingly common. The aim of operative fracture fixation is to correct deformity and restore function. The advent of percutaneous fixation techniques has reduced the morbidity previously associated with large operative exposures and internal fixation.
骨盆环创伤性断裂是高能量的危及生命的损伤。其治疗是一项重大挑战，尤其是在伴有严重出血的急性情况下。初始治疗的重点是通过控制出血和相关损伤来挽救生命。院前护理、手术、介入放射学的进展以及引入治疗算法以简化决策，提高了患者的生存率。随着越来越多不稳定骨盆损伤患者存活下来，非手术治疗的不良结果以及患者对治疗效果期望的增加，使得这些骨折的手术治疗越来越普遍。手术骨折固定的目的是纠正畸形并恢复功能。经皮固定技术的出现降低了先前与大手术切口和内固定相关的发病率。
