Pennal G F, Massiah K A
Clin Orthop Relat Res. 1980 Sep(151):124-9.
A review of 42 patients with delayed union and nonunion of fractures of the pelvis demonstrates that this rarely reported entity does exist. Nonunion occurred primarily in young patients (average age 35 years) and caused severe disabling symptoms. Bone graft surgery combined with external skeletal fixation of the pelvis produced union in 15 patients, each of whom was able to return to the work force. In the nonoperative group, only ten of 24 achieved bony union while 14 of those had only fibrous union. Pain in association with a limp were the predominant symptoms. Tangential radiographs of the pelvis, stress X-rays and tomograms proved the diagnosis. The average time to diagnosis in this series was 38 weeks. Earlier diagnosis and treatment are possible and would greatly reduce the morbidity of patients with extensively injured pelves.
对42例骨盆骨折延迟愈合和不愈合患者的回顾显示，这种鲜有报道的情况确实存在。不愈合主要发生在年轻患者（平均年龄35岁）中，并导致严重的致残症状。骨移植手术联合骨盆外固定使15例患者实现了骨折愈合，他们每个人都能够重返工作岗位。在非手术组中，24例患者仅有10例实现了骨愈合，而其中14例仅有纤维性愈合。疼痛伴跛行是主要症状。骨盆切线位X线片、应力X线片和断层扫描证实了诊断。该系列病例的平均诊断时间为38周。早期诊断和治疗是可行的，这将大大降低骨盆广泛损伤患者的发病率。
