Remiger A, Engelhardt P
Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen.
Swiss Surg. 1996;2(6):259-63.
In type C pelvic ring fractures ORIF is the treatment of choice. Early definitive fixation often is not possible due to severe soft tissue injuries and hemorrhage. The percutaneous iliosacral screw fixation with the patient supine offers a minimally invasive and definitive fixation method of the posterior unstable pelvic ring also in acute situations. Our first experience shows that a ventral stabilisation is necessary in combination with one dorsal screw. Both fixations are managed in the supine position of the patient during one anesthesia.
在C型骨盆环骨折中，切开复位内固定术（ORIF）是首选治疗方法。由于严重的软组织损伤和出血，早期进行确定性固定往往是不可能的。患者仰卧位的经皮髂骶螺钉固定术，即使在急性情况下，也为后环不稳定骨盆提供了一种微创且确定性的固定方法。我们的初步经验表明，结合一枚骶骨背侧螺钉，腹侧稳定是必要的。两种固定均在患者仰卧位、一次麻醉过程中完成。
