Rad Darius, van Embden Daphne, Bijlsma Paulien, Bates Peter
Royal London Hospital, London, United Kingdom.
J Am Acad Orthop Surg Glob Res Rev. 2019 Mar 26;3(4):e089. doi: 10.5435/JAAOSGlobal-D-17-00089. eCollection 2019 Apr.
We describe the case of an 8-year old female patient with an open pelvic fracture after being run over by a bus. Open pelvic injuries in pediatric patients are very rare and are associated with high mortality rates and long-term morbidity. In this case, a multidisciplinary surgical approach is described. The injuries include a complex pelvic ring fracture, which was treated with an internal external fixator, together with severe urogenital and soft-tissue injury. The internal external fixator, a surgical technique involving a temporary internal fixation device, is well described in adults, but has not been described in pediatric patients before. This case presentation shows the severity and complexity of the treatment of open pelvic fractures with severe associated injures. Albeit the treatment of her orthopaedic injuries has been successful so far, our patient unfortunately still suffers notable morbidity from her other injuries.
我们描述了一名8岁女性患者的病例,该患者被公交车碾压后发生开放性骨盆骨折。儿科患者的开放性骨盆损伤非常罕见,且与高死亡率和长期发病率相关。在此病例中,描述了一种多学科手术方法。损伤包括复杂的骨盆环骨折,采用内外固定器进行治疗,同时伴有严重的泌尿生殖系统和软组织损伤。内外固定器是一种涉及临时内固定装置的手术技术,在成人中已有详细描述,但此前在儿科患者中尚未见报道。本病例展示了伴有严重相关损伤的开放性骨盆骨折治疗的严重性和复杂性。尽管到目前为止她的骨科损伤治疗取得了成功,但不幸的是,我们的患者仍因其他损伤而遭受明显的发病情况。