切开复位内固定治疗骨盆桶柄样Tilt骨折讲述.pdf

·4· CHINESEJOURNALOFBONEANDJOINTINJURY V趔．墼．MQ．!．J—an．2—007 ·论 著· 切开复位内固定治疗骨盆桶柄样Tilt骨折 袁欣华+ 庞清江+ 吴乃庆一 黄涛+ 张前法+ 郑兴国+ 摘要 目的 耻骨上支髓内螺钉固定9例，6例2块骨盆重建钢板固定。后环37例经患侧髂嵴入路以骨盆重建钢板固定。8例骶骨骨折行骶 髂关节螺钉固定。7例未行后骨盆固定。结果 平均随访18个月。全部骨性愈合，无下肢不等长，骨盆畸形基本纠正。按 近期并发症的发生。 关键词 骨盆骨折；内固定 ReductionandInternal forBucketHandleandTiltFracturesofPelvis Open Fixation Yuan NO．2 Xinhua，Pang a1．Departmentoforthopedics，Ningbo Qingjiang，WuNaiqing，et Abstract To the methodsofthebuckethandleandTiltfracturesof Fifty—twopa— operative pelvis．Methods Objectiveinvestigate withtheante— tientswiththe handle fracturesof underwentthe reductionandinternalfixation．Nine bucket andTilt pelvis open patients rior fractureSwere Pfannenstiel 43 Pfannenstiel and pelvic operatedthrough operative patientsthrough operativeapproach approach，and the the withtheanterior fracturesweretreatedwith partial approach．Thirty—sevenpatients pelvicring long ilioinguinal with andthe ramusofthe hollow withtworeconstruction plate，9 thereconstruction screw，6 plateS· plate superior pubicintramedullary thelilac and8with withthe fracturesweretreatedwiththereconstruct