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一名伴有粉碎性移位髂骨骨折及耻骨上下支骨折患者的物理治疗康复:病例报告

Physiotherapeutic Rehabilitation of a Patient With a Comminuted Displaced Iliac Fracture and Superior and Inferior Pubic Rami Fractures: A Case Report.

作者信息

Jaiswal Pratik R, Lakhwani Madhu G, Phansopkar Pratik A

机构信息

Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Sep 2;14(9):e28709. doi: 10.7759/cureus.28709. eCollection 2022 Sep.

Abstract

Ilium fractures, which commonly advance from the iliac crest to the greater sciatic notch, are high-energy pelvic fractures that are frequently unstable. The general course of management for this injury is conservative, although cases of substantially displaced have been described that warranted surgical intervention. Many conditions, including decreased mobility, structural alterations in the joints, and discomfort, might make people more vulnerable to falls while waiting for hip or knee surgery. This can have an effect on both preoperative and postoperative functioning. The goal of surgical treatment for these individuals is to return them back to their prefracture state. This article presents the case of a 30-year-old male who was obtained a dash injury while riding a motorbike. He was diagnosed by an orthopedic surgeon with right-sided iliac blade fracture extending towards sacroiliac joint with right-sided sacral ala fracture and superior pubic rami fracture extending toward iliopectineal line and right-sided inferior pubic rami fracture (Tile Classification Type B3). He was operated via open reduction and internal fixation (ORIF) with osteosynthesis plating was done. Following surgery, the patient was dependent and his daily living was hampered. However, physiotherapy intervention improved the patient's pain and physical functioning and he gained independence in carrying out daily activities.

摘要

髂骨骨折通常从髂嵴延伸至坐骨大切迹,属于高能量骨盆骨折,常不稳定。尽管有报道称严重移位的病例需要手术干预,但这种损伤的一般治疗方法是保守治疗。包括活动能力下降、关节结构改变和不适在内的许多情况,可能会使人们在等待髋关节或膝关节手术时更容易跌倒。这可能会对术前和术后的功能产生影响。对这些患者进行手术治疗的目的是使其恢复到骨折前的状态。本文介绍了一名30岁男性的病例,他在骑摩托车时遭受撞击伤。一名骨科医生诊断他为右侧髂骨翼骨折并延伸至骶髂关节,伴有右侧骶骨翼骨折以及耻骨上支骨折并延伸至髂耻线,还有右侧耻骨下支骨折(Tile分类B3型)。对他进行了切开复位内固定手术(ORIF),并采用接骨板进行骨合成。术后,患者生活不能自理,日常生活受到影响。然而,物理治疗干预改善了患者的疼痛和身体功能,他在进行日常活动时重新获得了独立能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35cf/9527187/7f15f0fe63a7/cureus-0014-00000028709-i01.jpg

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