Wilke J, Pennig D
Klinik für Unfall- und Wiederherstellungschirurgie, Handchirurgie und Orthopädie, St.-Vinzenz Hospital Köln, Merheimer Straße 221-223, 50733, Köln, Deutschland.
Unfallchirurg. 2019 Aug;122(8):612-617. doi: 10.1007/s00113-019-0659-z.
The number of low energy traumas in older people with subsequent pelvic ring fractures is increasing in contrast to high energy traumas with pelvic injury in younger people. Geriatric pelvic fractures can be treated conservatively with analgesics and physiotherapy-assisted mobilization, depending on the symptoms. If physical complaints do not allow adequate mobilization, surgical stabilization is indicated. It is often possible to stabilize the dorsal pelvic ring with transiliosacral screws. If additional instability associated with anterior pelvic ring complaints is prevalent, stabilization of the anterior ring can be achieved by invasive osteosynthesis using a plate or percutaneously by implanting an intramedullary plastic polymer.
与年轻人因高能量创伤导致骨盆损伤相比，老年人因低能量创伤继发骨盆环骨折的数量正在增加。老年骨盆骨折可根据症状采用镇痛药和物理治疗辅助活动进行保守治疗。如果身体不适不允许充分活动，则需进行手术固定。通常可以使用经髂骶螺钉稳定骨盆后环。如果与骨盆前环损伤相关的额外不稳定普遍存在，可通过使用钢板进行侵入性骨合成或经皮植入髓内塑料聚合物来稳定前环。
