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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.

PMID:31981340
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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1
A comprehensive basic understanding of pelvis and acetabular fractures after high-energy trauma with associated injuries: Narrative review of targeted literature.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
J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S70-S75.
2
[Pelvic fractures in the Kiel trauma surgery clinic. A one-year evaluation].[基尔创伤外科诊所的骨盆骨折。一年期评估]
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Injury. 2014 Dec;45 Suppl 6:S9-S15. doi: 10.1016/j.injury.2014.10.016. Epub 2014 Oct 30.
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The floating hip. Ipsilateral pelvic and femoral fractures.漂浮髋。同侧骨盆和股骨骨折。
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[Surgical treatment of pelvic ring and acetabular fractures using the Stoppa approach].[采用Stoppa入路治疗骨盆环和髋臼骨折]
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Complications of surgical approaches for osteosynthesis treatment of acetabular fractures: Analysis of pitfalls and how to avoid them.手术入路治疗髋臼骨折内固定术的并发症:陷阱分析及如何避免。
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Analysis of risk factors for death during treatment of hemodynamically unstable pelvic fractures.血流动力学不稳定骨盆骨折治疗期间死亡的危险因素分析
Pak J Med Sci. 2025 Feb;41(2):559-563. doi: 10.12669/pjms.41.2.9808.
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Enhancing clinical decision-making in closed pelvic fractures with machine learning models.利用机器学习模型增强闭合性骨盆骨折的临床决策
Biomol Biomed. 2025 May 8;25(7):1491-1507. doi: 10.17305/bb.2024.10802.
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The Association of Acetabulum Fracture and Mechanism of Injury with BMI, Days Spent in Hospital, Blood Loss, and Surgery Time: A Retrospective Analysis of 67 Patients.
髋臼骨折与 BMI、住院天数、失血量和手术时间的关联:67 例患者的回顾性分析。
Medicina (Kaunas). 2024 Mar 9;60(3):455. doi: 10.3390/medicina60030455.
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Morphometric study of acetabular depth and coverage and their clinical importance.髋臼深度和覆盖度的形态计量学研究及其临床意义。
Pak J Med Sci. 2022 Nov-Dec;38(8):2227-2233. doi: 10.12669/pjms.38.8.5915.