Vécsei V
Chirurgische Abteilung des Wilhelminenspitals der Stadt Wien.
Aktuelle Traumatol. 1988 Dec;18(6):261-4.
Various mounting systems used in fixation of the pelvis were tested for their stability. The systems were mounted on macerated pelvices and their firmness examined. The criterion for the examination was on the one hand the force needed under distraction to cause a distension in the region of the symphysis or of the sacroiliac joint of 1 cm., on the other hand the force needed to tilt the disjunction points for 1 cm. when shearing takes place. It was concluded from the study that in clinical use, given unstable pelvic fractures, mountings applied only anteriorly are not capable of withstanding the strain expected under biological conditions. Consequently, mobilisation with full weight bearing in instable pelvic fractures is not possible in a shorter period of time than with conservative (extension) treatment.
对用于骨盆固定的各种安装系统的稳定性进行了测试。这些系统安装在浸软的骨盆上,并检查其牢固性。检查标准一方面是在牵引时使耻骨联合或骶髂关节区域扩张1厘米所需的力,另一方面是在发生剪切时使分离点倾斜1厘米所需的力。研究得出的结论是,在临床应用中,对于不稳定的骨盆骨折,仅从前侧应用的固定装置无法承受生物条件下预期的应变。因此,与保守(伸展)治疗相比,不稳定骨盆骨折在更短时间内进行完全负重活动是不可能的。