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[骨盆环不稳定骶骨骨折的治疗。早期活动的骨固定术结果]

[Therapy of unstable sacrum fractures in pelvic ring. Results of of osteosynthesis with early mobilization].

作者信息

Josten C, Schildhauer T A, Muhr G

机构信息

Chirurgische Klinik und Poliklinik, Universitätsklinik BG-Kliniken Bergmannsheil Bochum.

出版信息

Chirurg. 1994 Nov;65(11):970-5.

PMID:7821078
Abstract

Eight patients with sacrum fractures combined with pelvic ring fractures type C were treated using a triangular osteosynthesis after reduction of the fracture. The additional vertical stabilization between the lumbar spine and the posterior iliac crest caused the stability, which is necessary for immediate mobilization of patients. Perfect reduction, correct positioning of the hardware, gentle soft tissue treatment, as well as early mobilization of the patient, increases the early and late prognosis considerably, and compensates the operative trauma completely. We observed no infections or redislocations. The described operative treatment is state of the art at our institution.

摘要

8例骶骨骨折合并C型骨盆环骨折患者在骨折复位后采用三角形接骨板固定治疗。腰椎与髂后嵴之间增加的垂直稳定性确保了稳定性,这对于患者立即活动是必要的。完美的复位、内固定物的正确放置、轻柔的软组织处理以及患者的早期活动,显著改善了早期和晚期预后,并完全弥补了手术创伤。我们未观察到感染或再脱位情况。所述的手术治疗是我们机构的先进技术。

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