Keshishyan R A, Rozinov V M, Malakhov O A, Kuznetsov L E, Strunin E G, Chogovadze G A, Tsukanov V E
Department for Multiple and Combined Injuries in Children, Scientific Research Institute of Paediatrics and Paediatric Surgery, Moscow, Russia.
Clin Orthop Relat Res. 1995 Nov(320):28-33.
Results of clinical and radiographic examinations of 43 patients, 4 to 15 years old, with pelvic polyfractures during acute- and long-term periods of trauma, and postmortem and experimental data were presented. A high rate of diagnostic mistakes and treatment failures in patients with pelvic polyfractures are defined. Depending on the location and pattern of pelvis injuries, the main reasons for complications are determined. A technique of external fixation with the application of a pivot device for managing pelvic polyfractures in children is described. The efficacy of the proposed curative tactics is shown by treatment results of 12 patients with pelvic polyfractures.
介绍了43例4至15岁骨盆多发骨折患者在创伤急性期和长期的临床及影像学检查结果、尸检和实验数据。确定了骨盆多发骨折患者诊断错误和治疗失败的发生率较高。根据骨盆损伤的部位和类型，确定了并发症的主要原因。描述了一种应用枢轴装置进行外固定治疗儿童骨盆多发骨折的技术。12例骨盆多发骨折患者的治疗结果显示了所提出治疗策略的有效性。
