Department of Orthopaedics and Traumatology, Helsinki University Hospital, and University of Helsinki, Haartmaninkatu 4, 00290, Helsinki, Finland.
Trauma Department, Hannover Medical School, Hannover, Germany.
Arch Orthop Trauma Surg. 2024 Oct;144(10):4587-4593. doi: 10.1007/s00402-024-05557-2. Epub 2024 Oct 9.
Pelvic ring fractures may present with relevant mechanical and haemodynamic instability. Classifications of the bony or ligamentous injuries of the pelvic ring are well established. The most common classifications used analyse the injury mechanisms and the resulting instability of the pelvic ring structure. Fracture classifications should be simple and easy to use, comprehensive, and radiographically and anatomically based, resulting in a hierarchical alphanumeric order of types and subtypes and thereby allow adequate treatment decisions based on a high degree of inter- and intraobserver reliability. In 2018 a new AO/OTA pelvic ring fracture and dislocation classification was published that combined the most commonly used "historical" classification schemes, e.g. the Tile/AO classification and the classification according to Young and Burgess. Compared with these older classifications, several relevant changes were integrated in the 2018 edition. The changes between the AO/OTA 1996/2007 and 2018 classifications were analysed in detail. Overall, several problems were identified regarding the type-B pelvic ring injury classification. These changes may result in difficulties in classifying pelvic ring injuries and thereby prevent relevant comparisons between former and future clinical studies on pelvic injuries.Level of Evidence: V.
骨盆环骨折可能伴有相关的机械和血流动力学不稳定。骨盆环的骨或韧带损伤的分类已经得到很好的确立。最常用的分类方法分析了损伤机制和骨盆环结构的不稳定。骨折分类应该简单易用、全面、基于影像学和解剖学，从而形成一个类型和亚型的分层字母数字顺序，从而允许根据高度的观察者间和观察者内可靠性做出适当的治疗决策。2018 年，发布了一种新的 AO/OTA 骨盆环骨折和脱位分类，该分类结合了最常用的“历史”分类方案，例如 Tile/AO 分类和 Young 和 Burgess 分类。与这些较旧的分类相比，2018 版中整合了几个相关的变化。对 1996/2007 年和 2018 年的 AO/OTA 分类之间的变化进行了详细分析。总体而言，骨盆环损伤分类中发现了一些 B 型骨盆环损伤分类的问题。这些变化可能导致骨盆环损伤的分类困难，并因此阻止骨盆损伤的既往和未来临床研究之间的相关比较。证据水平：V。
