Grewal Ishvinder S, Starr Adam J
Parkland Memorial Hospital, University of Texas Southwestern, 5201 Harry Hines Boulevard, Dallas, TX 75235, USA.
Parkland Memorial Hospital, University of Texas Southwestern, 5201 Harry Hines Boulevard, Dallas, TX 75235, USA.
Orthop Clin North Am. 2020 Jul;51(3):317-324. doi: 10.1016/j.ocl.2020.02.010. Epub 2020 May 5.
Percutaneous reduction and fixation of pelvic ring fractures is now widely accepted as a safe and effective treatment method. The only exception remains reduction and fixation of pubic symphyseal injuries. Several units from China and one from Spain have published clinical and biomechanical studies supporting percutaneous reduction and fixation of the pubic symphysis with various screw configurations. The initial clinical results are promising. Biomechanical data show there is little difference between plate and screw fixation. We review the current literature and also present a case performed by ourselves using this novel technique.
经皮复位与固定骨盆环骨折目前已被广泛认可为一种安全有效的治疗方法。唯一的例外仍然是耻骨联合损伤的复位与固定。来自中国的几个单位和来自西班牙的一个单位发表了临床和生物力学研究，支持采用各种螺钉构型对耻骨联合进行经皮复位与固定。初步临床结果令人鼓舞。生物力学数据表明，钢板固定和螺钉固定之间差异不大。我们回顾了当前的文献，并展示了我们自己使用这种新技术完成的一例病例。
