Grewal Ishvinder Singh, Mir Hasan R
Florida Orthopaedic Institute, Orthopaedic Trauma Service, 5 Tampa General Cir UNIT 710, Tampa, FL, 33606, USA.
J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1009-1015. doi: 10.1016/j.jcot.2020.10.004. Epub 2020 Oct 10.
Pelvic ring fractures have increased in incidence and operative fixation over the past several decades. These are dynamic injuries but decisions on operative management are still often made on the basis of static imaging. Expert opinion varies greatly on which injuries require fixation and how much fixation. Examination under anaesthesia has been shown to guide management of pelvic injuries by more accurately assessing levels of instability.
在过去几十年中,骨盆环骨折的发病率和手术固定率都有所上升。这些是动态损伤,但手术治疗的决策通常仍基于静态影像学检查。对于哪些损伤需要固定以及需要多少固定,专家意见差异很大。麻醉下检查已被证明可通过更准确地评估不稳定程度来指导骨盆损伤的治疗。