Nakayama Yuhei, Suzuki Takashi, Kurozumi Taketo, Watanabe Yoshinobu
Trauma Center, Federation of National Public Service Personnel Mutual Aid Associations, Toranomon Hospital, Tokyo, Japan.
Trauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.
Trauma Case Rep. 2023 Jan 13;43:100773. doi: 10.1016/j.tcr.2023.100773. eCollection 2023 Feb.
Efficient management of fragility fractures of the pelvis (FFPs) is established during the acute phase of injury. However, a small number of FFPs exhibit fracture progression with increased instability over time. Fracture progression is typically seen in sacral fractures and rare in iliac fractures. Herein, we present the case of a 72-year-old woman with Rommens type IIIa FFP, following an isolated iliac fracture. It was successfully treated four months after the initial injury with retrograde suprapubic screw fixation via the anterior intra-pelvic approach and percutaneous lateral compression type-2 screw fixation using an interdigitating technique.
骨盆脆性骨折（FFP）的有效管理在损伤急性期即已确立。然而，少数FFP会随着时间推移出现骨折进展且不稳定性增加。骨折进展通常见于骶骨骨折，而在髂骨骨折中罕见。在此，我们报告一例72岁女性，患有孤立性髂骨骨折的Rommens IIIa型FFP。在初次受伤四个月后，通过经盆腔前路逆行耻骨上螺钉固定和采用交叉技术的经皮外侧加压2型螺钉固定成功治疗。
