Culemann U, Oestern H J, Pohlemann T
Klinik für Unfallchirurgie, Orthopädie und Neurotraumatologie, Allgemeines Krankenhaus Celle, 29223, Celle, Deutschland,
Unfallchirurg. 2014 Feb;117(2):145-59; quiz 160-1. doi: 10.1007/s00113-014-2558-7.
Pelvic injuries are often associated with multiple injuries of other body regions, neurovascular and visceral lesions, as well as hemodynamic instability. The use of a standardized classification characterizing the severity and stability of pelvic fractures and the early stabilization of pelvic ring injuries in appreciation of damage control principles has helped to improve the number of survivors. This is particularly necessary due to the higher number of older patients. Complex pelvic trauma still represents a life-threatening situation for the patient, particularly in multiple traumatized patients. Standardized clinical investigations and modern concepts even in the preclinical therapy of complex pelvic fractures make a contribution to enhancement of treatment options. Because of the still problematic long-term results after surgery of instable pelvic fractures, the need for modern treatment concepts has to be adapted to the requirements.
骨盆损伤常伴有身体其他部位的多发伤、神经血管和内脏损伤以及血流动力学不稳定。采用标准化分类来描述骨盆骨折的严重程度和稳定性,并根据损伤控制原则对骨盆环损伤进行早期稳定处理,有助于提高幸存者数量。鉴于老年患者数量较多,这一点尤为必要。复杂骨盆创伤对患者来说仍然是一种危及生命的情况,尤其是在多发伤患者中。即使在复杂骨盆骨折的临床前治疗中,标准化的临床研究和现代理念也有助于增加治疗选择。由于不稳定骨盆骨折手术后的长期效果仍存在问题,现代治疗理念的需求必须适应这些要求。