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对高能创伤后伴有相关损伤的骨盆和髋臼骨折的全面基本认识:针对性文献的叙述性综述

A comprehensive basic understanding of pelvis and acetabular fractures after high-energy trauma with associated injuries: Narrative review of targeted literature.

作者信息

Atif Muhammad, Hasan Obada, Baloch Naveed, Umer Masood

机构信息

Department of Surgery, Section of orthopedics, Aga Khan University Hospital, Karachi, Pakistan.

Department of Surgery, Section of Orthopaedics, The Aga Khan University Hospital, Karachi Pakistan.

出版信息

J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S70-S75.

Abstract

Acetabular fractures are caused by energy trauma which is high enough to cause such a fracture with incidence of 3 patients / 100000. In older individuals, most commonmechanism of injury is fall and, in younger individuals, road traffic accidents. Acetabular fractures are usually associated with visceral injuries and other musculoskeletal injuries (about 50% of patient). In this narrative review of targeted English literature from all level of evidences, which is written and supervised by experienced specialized orthopedic and trauma surgeons who were among the pioneers of conducting pelvis fracture management workshops in the country, we aim to describe the mechanism of injury, assessment principles and associated injuries, decision-making and preoperative planning and indications of non-operative managements.

摘要

髋臼骨折由高能量创伤引起,这种创伤足以导致此类骨折,发病率为每10万人中有3例患者。在老年个体中,最常见的损伤机制是跌倒,而在年轻个体中,则是道路交通事故。髋臼骨折通常伴有内脏损伤和其他肌肉骨骼损伤(约50%的患者)。在这篇对所有证据水平的英文文献进行的叙述性综述中,由该国骨盆骨折管理研讨会的先驱之一、经验丰富的专业骨科和创伤外科医生撰写并监督,我们旨在描述损伤机制、评估原则及相关损伤、决策制定、术前规划以及非手术治疗的适应症。

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