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开放性髋臼骨折:病例报告及文献综述

Open acetabular fracture: Case report and literature review.

作者信息

Shiels Sarah J, Stevens Jarrad M, Chesser Timothy J S

机构信息

Department of Orthopaedic and Trauma Surgery, Southmead Hospital, Bristol, United Kingdom of Great Britain and Northern Ireland.

出版信息

Trauma Case Rep. 2019 Feb 15;20:100180. doi: 10.1016/j.tcr.2019.100180. eCollection 2019 Apr.

DOI:10.1016/j.tcr.2019.100180
PMID:30815532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6378899/
Abstract

Acetabular fractures are a rare injury, with a reported annual incidence of 3 patients per 100,000 per year. Open fractures of the acetabulum are extremely rare, with only explosive penetrating trauma (blast or gunshot injury) being previously reported. An open acetabular fracture as a result of blunt trauma is presented, in which the only indication was a wound in the buttock, in which early definitive surgical management of the injury provided a good clinical outcome.

摘要

髋臼骨折是一种罕见的损伤,据报道年发病率为每10万人中有3例。髋臼开放性骨折极为罕见,此前仅有爆炸穿透伤(爆炸伤或枪伤)的报道。本文报道了一例因钝性创伤导致的开放性髋臼骨折,其唯一的指征是臀部有伤口,对该损伤进行早期确定性手术治疗取得了良好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/52f6b9f0ddd8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/b6dd213ec8c8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/937578608c7f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/815574224ad6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/52f6b9f0ddd8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/b6dd213ec8c8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/937578608c7f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/815574224ad6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/6378899/52f6b9f0ddd8/gr4.jpg

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Trauma Case Rep. 2019 Feb 15;20:100180. doi: 10.1016/j.tcr.2019.100180. eCollection 2019 Apr.
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本文引用的文献

1
Combat-related acetabular fractures: Outcomes of open versus closed injuries.与战斗相关的髋臼骨折:开放性损伤与闭合性损伤的治疗结果
Injury. 2018 Feb;49(2):290-295. doi: 10.1016/j.injury.2017.11.035. Epub 2017 Dec 2.
2
Gunshot wounds to the acetabulum.髋关节枪弹伤。
J Orthop Trauma. 2012 Aug;26(8):451-9. doi: 10.1097/BOT.0b013e31822c085d.
3
Management of an open acetabular fracture in a skeletally immature patient.骨骼未成熟患者开放性髋臼骨折的处理
Open Orthop J. 2007 Nov 20;1:9-12. doi: 10.2174/1874325000701010009.
4
Acetabular fractures: a 16-year prospective epidemiological study.髋臼骨折:一项为期16年的前瞻性流行病学研究。
J Bone Joint Surg Br. 2005 Jul;87(7):969-73. doi: 10.1302/0301-620X.87B7.16017.
5
The displaced open acetabular fracture: treatment with immediate open reduction and internal fixation.移位型开放性髋臼骨折:即刻切开复位内固定治疗
J Trauma. 1999 Aug;47(2):389-92. doi: 10.1097/00005373-199908000-00032.