Routt M L, Kregor P J, Simonian P T, Mayo K A
Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Seattle, USA.
J Orthop Trauma. 1995 Jun;9(3):207-14. doi: 10.1097/00005131-199506000-00005.
The operative management of pelvic ring fractures and dislocations is difficult. Posterior pelvic ring disruptions are often associated with severe soft-tissue injuries and high infection rates. Percutaneous iliosacral screw fixation of the posterior pelvis has become popular with improved fluoroscopic imaging techniques. The percutaneous iliosacral screw technique after closed reduction of the posterior pelvic disruption minimally violates the soft-tissue envelope and should diminish both the operative blood loss and infection rate. The early results and complications are documented in our first 68 patients.
骨盆环骨折和脱位的手术治疗颇具难度。骨盆后环损伤常伴有严重的软组织损伤和高感染率。随着透视成像技术的改进，经皮骶髂螺钉固定后骨盆已变得流行起来。后骨盆损伤闭合复位后的经皮骶髂螺钉技术对软组织包膜的破坏最小，应能减少术中失血和感染率。我们对首批68例患者的早期结果及并发症进行了记录。
