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不稳定骨盆骨折的经皮髂骶螺钉固定术

Percutaneous iliosacral screw fixation in unstable pelvic fractures.

作者信息

Bousbaa Hicham, Ouahidi Mohammed, Louaste Jamal, Bennani Mourad, Cherrad Tawfiq, Jezzari Hassan, Kasmaoui El Houssine, Rachid Khalid, Amhajji Laarbi

机构信息

Department of Orthopaedics & Traumatology, Military Hospital Moulay Ismail, BP 50000 Meknes, Morocco.

出版信息

Pan Afr Med J. 2017 Aug 3;27:244. doi: 10.11604/pamj.2017.27.244.11506. eCollection 2017.

Abstract

Surgical treatment of unstable pelvic fractures Type C, has a vertical instability that is not controlled by traction and supine; therefore, orthopedic and functional treatments undertaken by default are sources of complications. The closed reduction with percutaneous sacroiliac fixation solves the problem of vertical instability; but at the cost of learning the method. Five patients with unstable pelvic fractures; were treated by percutaneous sacroiliac fixation. This reliable and useful method in the stabilization of unstable pelvic fractures. Good functional results are predictable based on the severity of pelvic fractures and associated injuries. The low rates of complications and the minimally invasive nature are the advantages of this method.

摘要

C型不稳定骨盆骨折的手术治疗存在垂直不稳定,牵引和仰卧位无法控制;因此,默认采用的骨科和功能治疗是并发症的来源。经皮骶髂关节固定的闭合复位解决了垂直不稳定问题;但要付出学习该方法的代价。五例不稳定骨盆骨折患者接受了经皮骶髂关节固定治疗。这种方法在稳定不稳定骨盆骨折方面可靠且有用。基于骨盆骨折的严重程度和相关损伤,可以预测良好的功能结果。并发症发生率低和微创性是该方法的优点。

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