Balbachevsky Daniel, Belloti João Carlos, Doca Daniel Gonçalves, Jannarelli Bruno, Junior João Alberto Yazigi, Fernandes Hélio Jorge Alvachian, Dos Reis Fernando Baldy
Department of Orthopaedics and Traumatology, Federal University of São Paulo (Universidade Federal de São Paulo-UNIFESP), São Paulo, Brazil.
Department of Orthopaedics and Traumatology, Federal University of São Paulo (Universidade Federal de São Paulo-UNIFESP), São Paulo, Brazil.
Injury. 2014 Nov;45 Suppl 5:S46-51. doi: 10.1016/S0020-1383(14)70021-X.
This survey was conducted during the 38(th) Brazilian Congress of Orthopaedics and Traumatology to identify the opinion of Brazilian orthopaedic surgeons on the standard treatment of pelvic fractures.
Participants were randomly selected and invited to voluntarily answer a questionnaire of 10 multiple choice questions addressing the main aspects of the treatment of pelvic fractures: classification, fixation methods in unstable patients, optimal surgical timing in stable patients, and fixation methods in different types of anterior and posterior pelvic injuries.
RESULTS/CONCLUSION: Three hundred and fifty-two questionnaires were completed, and the following main observations were made: most orthopaedists prefer to use an external fixator in the iliac crest for the emergency stabilisation of pelvic injuries in haemodynamically unstable patients (79.5%); they consider a period of up to one week as optimal for fixation in stable patients (55.1%); they use a plate for the fixation of fractures of the iliopubic rami through a Pfannenstiel or ilio-inguinal approach (53.9%); and they use reconstruction plates for the fixation of fractures of the iliac wing (63.1%). Regarding other studied aspects, there was no predominance of more than 50% of the choices among respondents.
本次调查在第38届巴西骨科学与创伤学大会期间进行，旨在了解巴西骨科医生对骨盆骨折标准治疗方法的看法。
随机选取参与者，邀请他们自愿回答一份包含10道选择题的问卷，内容涉及骨盆骨折治疗的主要方面：分类、不稳定患者的固定方法、稳定患者的最佳手术时机以及不同类型骨盆前后部损伤的固定方法。
结果/结论：共完成352份问卷，得出以下主要观察结果：大多数骨科医生倾向于在髂嵴使用外固定器对血流动力学不稳定患者的骨盆损伤进行紧急稳定处理（79.5%）；他们认为稳定患者固定的最佳时间为一周以内（55.1%）；他们通过Pfannenstiel或髂腹股沟入路使用钢板固定耻骨支骨折（53.9%）；他们使用重建钢板固定髂骨翼骨折（63.1%）。关于其他研究方面，受访者中选择比例超过50%的情况并不占主导。
