Kotsarinis Georgios, Mauffrey Oceane, Wakefield Sophia M, Giannoudis Peter V
Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds, United Kingdom.
School of Medicine, University of North Carolina, NC, USA.
Trauma Case Rep. 2023 Sep 16;48:100932. doi: 10.1016/j.tcr.2023.100932. eCollection 2023 Dec.
We report on the treatment of a neglected displaced vertical shear pelvic fracture with functional impairment 6 months after injury in a 74-year-old woman with underlying osteoporosis. She was managed with open reduction and internal fixation and grafting of her left SI joint, while the ipsilateral pubic rami fractures were treated conservatively. She achieved union and pain free weight bearing 6 months postoperatively. Appropriate evaluation of the pathology and selection of the appropriate treatment in this elderly patient cohort is essential for a successful outcome. Experienced surgical team and individualized treatment approach are also vital to optimize the result of treatment.
我们报告了一名74岁患有潜在骨质疏松症的女性，在受伤6个月后出现功能障碍的被忽视的垂直移位骨盆剪切骨折的治疗情况。她接受了切开复位内固定及左骶髂关节植骨治疗，而同侧耻骨支骨折则采用保守治疗。术后6个月，她实现了骨折愈合且无痛负重。对该老年患者群体的病理情况进行恰当评估并选择合适的治疗方法对于取得成功的治疗结果至关重要。经验丰富的手术团队和个体化的治疗方法对于优化治疗效果也至关重要。
