Fabian T C, McKinnon W M, Moskowitz M S, Stone H H
Surg Gynecol Obstet. 1980 Oct;151(4):549-51.
Occasionally, a pelvic fracture is an exceedingly difficult injury to manage in the multiple trauma victim. Accompanying hemorrhage can not only be life-threatening but often confuses the evaluation as to sources of blood loss. Reduction of a Malgaigne's or open book pelvic fracture aids significantly in stemming this extraperitoneal venous bleeding. If operative intervention for associated injuries is required, reapproximation of any pubic disruption should be performed concomitantly. Use of the rib approximator for this reduction saves considerable time and can be accomplished with relatively little effort.
偶尔，骨盆骨折对于多发伤患者来说是一种极难处理的损伤。伴随的出血不仅会危及生命，还常常使对失血来源的评估变得复杂。马尔盖涅骨折或耻骨联合分离型骨盆骨折的复位对于阻止这种腹膜外静脉出血有显著帮助。如果需要对相关损伤进行手术干预，应同时对任何耻骨联合分离进行重新对合。使用肋骨复位器进行这种复位可节省大量时间，且相对轻松就能完成。
