Yanagisawa Yohei, Watanabe Yu, Matsumoto Yukei, Makihara Takeshi, Inoue Yoshiaki, Yamazaki Masashi
Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan.
Department of Orthopaedic Surgery, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
Trauma Case Rep. 2020 Nov 6;30:100374. doi: 10.1016/j.tcr.2020.100374. eCollection 2020 Dec.
Patients with fragility fractures of the pelvic ring (FFP) are elderly and, from the perspective of surgical invasion, percutaneous and stable fixation may be a superior surgical method than open reduction and internal fixation (ORIF). While in the case of FFP type IIIa, ORIF, as a rule, typically requires open reduction of the displaced ilium via an anterior intrapelvic approach and/or lateral window of the ilioinguinal approach. We have reported here the case of an 89-year-old woman who suffered from FFP type IIIa with ipsilateral periprosthetic femur fracture that was surgically treated. The iliac fracture was approached in a minimally invasive manner using the traction operation while preparing for femoral shaft fracture surgery, which did not require open reduction, and showed favorable outcomes.
骨盆环脆性骨折（FFP）患者多为老年人，从手术侵袭性角度来看，经皮稳定固定可能是比切开复位内固定（ORIF）更优越的手术方法。而对于IIIa型FFP，通常情况下，ORIF一般需要通过骨盆内前路和/或髂腹股沟入路的外侧窗口对移位的髂骨进行切开复位。我们在此报告了一例89岁女性患者，她患有IIIa型FFP并伴有同侧股骨假体周围骨折，接受了手术治疗。在准备股骨干骨折手术时，采用牵引手术以微创方式处理髂骨骨折，无需切开复位，结果良好。
