Matta J M, Tornetta P
Hospital of the Good Samaritan, Los Angeles, CA, USA.
Clin Orthop Relat Res. 1996 Aug(329):129-40. doi: 10.1097/00003086-199608000-00016.
One hundred and seven unstable pelvic fractures were treated operatively. Reductions were graded by the maximal displacement measured on the 3 standard views of the pelvis. Criteria were: excellent 4 mm or less, good 5 to 10 mm, fair 10 to 20 mm, and poor more than 20 mm. Overall there were 72 excellent, 30 good, 4 fair, and 1 poor reduction. Ninety-five percent of all reductions were excellent or good. Open reduction and internal fixation within 21 days were associated with a higher percentage of excellent reductions than in reductions performed after 21 days (70% versus 55%). These differences were not statistically significant, however. Complications were infrequent using the techniques described.
107例不稳定骨盆骨折接受了手术治疗。复位情况根据骨盆3个标准视图上测量的最大移位进行分级。标准为：优，移位4mm或更小；良，移位5至10mm；可，移位10至20mm；差，移位超过20mm。总体而言，复位优72例，良30例，可4例，差1例。所有复位中95%为优或良。21天内进行切开复位内固定的患者中，复位优的比例高于21天后进行复位的患者（70%对55%）。然而，这些差异无统计学意义。采用所述技术时并发症并不常见。
