Bazylewicz Daniel, Konda Sanjit
Bull Hosp Jt Dis (2013). 2016 Mar;74(1):6-11.
Pelvic ring injuries can result in significant morbidity and mortality. New techniques, technologies, and research have led to the development of various algorithms to guide the initial diagnosis and management of these injuries. These include treatment with antibiotics and operative debridement in the case of open fractures and temporary stabilization in certain cases with sheets, binders, or external fixators. Yet even after successful completion of the initial treatment phase, identifying and implementing the optimal definitive treatment of pelvic ring injuries remains a challenge. Various classification schemes have been proposed and contribute in different ways to an understanding of pelvic ring injuries. The current paper will review the definitive management of pelvic ring injuries, ultimately using the Young and Burgess classification as a guide, with a focus on current practice and the supporting evidence.
骨盆环损伤可导致严重的发病率和死亡率。新技术、科技及研究催生了各种算法,以指导这些损伤的初步诊断和处理。这包括开放性骨折时使用抗生素治疗和手术清创,以及在某些情况下用床单、绑带或外固定架进行临时固定。然而,即使在成功完成初始治疗阶段后,确定并实施骨盆环损伤的最佳确定性治疗仍具挑战性。已提出了各种分类方案,它们以不同方式有助于理解骨盆环损伤。本文将以Young和Burgess分类为指导,回顾骨盆环损伤的确定性处理,重点关注当前的实践及支持证据。