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Treatment of posterior pelvic ring injuries with minimally invasive percutaneous plate osteosynthesis

机译:经皮微创钢板内固定治疗骨盆后环损伤

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摘要

From January 2004 to July 2007, 21 patients with injuries at the posterior pelvic ring were treated with locking compression plate osteosynthesis through a minimally invasive approach and followed up for a mean of 12.2 months. Preoperative and postoperative radiography was conducted to assess the reduction and union. The mean operation time was 60 minutes (range: 40–80). Intraoperative blood loss was 50–150 ml. All patients achieved union at the final follow-up. The overall radiological results were excellent or good in 17 patients (85%). The functional outcome was excellent or good in 18 patients (90%). There was no iatrogenic nerve injury, deep infection or failure of fixation. We believe that fixation with a locking compression plate is an effective method for the treatment of injuries of the posterior pelvic ring in view of its convenience, minimal traumatic invasion and lower morbidity.
机译:从2004年1月至2007年7月,采用微创方法对21例骨盆后环受伤的患者进行锁定加压接骨板固定术治疗,平均随访12.2个月。术前和术后进行X线摄片以评估复位和愈合情况。平均手术时间为60分钟(范围:40–80)。术中失血量为50-150 ml。在最后的随访中所有患者均达到了愈合。 17名患者(85%)的总体放射学检查结果优异或良好。 18名患者(90%)的功能预后良好或良好。没有医源性神经损伤,深层感染或固定失败。我们认为,鉴于其方便性,创伤最小,发病率较低,用锁定加压板固定是治疗骨盆后环损伤的有效方法。

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