Tornetta P, Matta J M
Kings County Hospital, Brooklyn, NY, USA.
Clin Orthop Relat Res. 1996 Aug(329):186-93. doi: 10.1097/00003086-199608000-00022.
Forty-six patients with 48 operatively fixed unstable posterior pelvic ring disruptions were observed for an average of 44 months. Two thirds of the patients returned to their original jobs and 16% changed jobs because of an associated injury. Sixty-three percent of the patients had no pain or pain only on strenuous activity and ambulated without limitation. However, 35% of the patients had significant neurologic injuries that compromised their final result. Properly performed open reduction and internal fixation of unstable posterior pelvic ring injuries may he expected to yield good functional results in the majority of patients. Associated injuries continue to be a major source of disability.
46例接受手术固定的不稳定型骨盆后环损伤患者被观察了平均44个月。三分之二的患者恢复了原工作，16%的患者因合并伤而更换了工作。63%的患者无疼痛或仅在剧烈活动时疼痛，且行走不受限。然而，35%的患者有严重的神经损伤，影响了最终结果。对于不稳定型骨盆后环损伤，正确实施切开复位内固定有望在大多数患者中取得良好的功能结果。合并伤仍然是致残的主要原因。
