耻骨支骨折在髋部骨折固定术中：一例罕见的牵引台相关损伤。
Fracture of pubic rami during hip fracture fixation: a rare case of traction table-related injury.
机构信息
Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
University of Edinburgh Division of Clinical and Surgical Sciences, Edinburgh, UK.
出版信息
BMJ Case Rep. 2022 Jan 3;15(1):e246581. doi: 10.1136/bcr-2021-246581.
Abstract
We present a case of an elderly and comorbid patient who was scheduled to undergo a hip fracture fixation using an intramedullary nail. Unfortunately, this was delayed by 3 weeks as the patient was unfit to undergo this procedure. She was placed onto the traction table and intraoperatively sustained a superior and inferior pubic rami fracture while attempting reduction on the traction table. Closed-reduction techniques using traction tables and perineal posts are not without morbidity. Risk factors such as osteoporosis and delayed-fixation should be accounted for when managing this complex and often frail group of patients.
摘要
我们报告了 1 例高龄合并多种疾病的患者，该患者拟行髓内钉固定术治疗股骨颈骨折，但由于患者身体状况不佳，手术被推迟了 3 周。患者被放置在牵引台上，在牵引台上进行复位时发生了耻骨上、下支骨折。使用牵引台和会阴部固定柱进行闭合复位技术并非没有并发症。在处理这类复杂且通常脆弱的患者时，应考虑骨质疏松症和延迟固定等风险因素。
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