Lange R H, Hansen S T
Clin Orthop Relat Res. 1985 Dec(201):130-7.
The management of disruption of the pelvic ring is both complex and controversial. Twenty-four injuries associated with symphysis pubis diastasis were reviewed to evaluate a two-hole plate technique of anterior internal fixation as compared to four-hole plate anterior fixation. The two-hole plate technique appears to be quite acceptable for maintaining reduction of the diastasis and therefore can be used to manage most anteroposterior compression injuries (those without complete posterior disruption). Vertical shear injuries, all of which are grossly unstable, can also be managed with anterior two-hole plates. However, this fixation method must be supplemented with some form of posterior stabilization to maintain pelvic ring reduction.
骨盆环损伤的处理既复杂又存在争议。回顾了24例与耻骨联合分离相关的损伤，以评估两孔钢板前路内固定技术与四孔钢板前路固定技术相比的效果。两孔钢板技术对于维持耻骨联合分离的复位似乎是相当可接受的，因此可用于处理大多数前后挤压伤（那些没有完全后柱损伤的情况）。垂直剪切伤，所有这些损伤都明显不稳定，也可用前路两孔钢板处理。然而，这种固定方法必须辅以某种形式的后方稳定，以维持骨盆环的复位。
