不稳定骨盆骨折的外固定架治疗.pdfVIP

326 2004 6 20 6 Chin J T rauma, June 2004, Vol. 20, No. 6 潘进社 李亚洲 张英泽 彭阿钦 侯志勇 韩长伶 41 ,8 , 13 , 2 1 , 18 ,2 , , X , ; ; External fixators for treatment of unstable pelvic fractures PA N J inshe, LI Yaz hou , ZHA N G Yingz e, PEN G Aqin, H O U Zhiyong , HA N Changling . Ortho aedic Trauma Center , Third H os ital of H ebei M edical Univ ersity, Shij iaz huang 050051, China Abstract Objective To discuss the value of the external fixators in first aid treatment of un stable pelvic fractures. Methods ifferent corresponding external fixations were performed in 41 cases of unstable pelvicfractures according to injury classification, injury severity, and the stateswhether therewere other combined organ injury. Results After treatment with external fixation of pelvis, eight cases received hypogastric artery embolism at once, 13 internal fixation of pelvic fractures and two single external fixation. All cases, except that one died because of hemodynamics out of control, were followed up for 18 months, of which two stated lumbosacral pain. Conclusions The pelvic external fixation is a simple, safe and effective operative technique with minor trauma. T he anterior pelvic exter nal fixation can be applied using fluoroscopic guidance to rapidly fixate the postreduction pelvic ring dis location. Pelvic external fixation can serve as a temporary resuscitative fixation device, as definitive treatment for pelvic fractures, or as a supplement for pelvic internal fixation depending on the specific pelvic ring injury pattern and clinical requirements. Key words Pelvis; Fractures; External fixators ,, 1. 1