后环通用脊柱内固定器械联合前环外固定架治疗Tile B、C型Morel-Lavallée损伤21例  

Treatment of the Tile B and Tile C Morel-Lavallée lesions with a texas scottish rite hospital （TSRH） system and external fixation

作　　者：孔祥喆[1] 管得印 蒋刚[1] 

机构地区：[1]中国医科大学辽阳中心医院,辽宁省辽阳111000 [2]总参北京第一干休所门诊部

出　　处：《中国医师杂志》2014年第3期336-338,共3页Journal of Chinese Physician

摘　　要：目的 探讨后环通用脊柱内固定器械（TSRH）联合前环外固定架治疗合并有严重软组织损伤（如皮肤、皮下筋膜大面积剥脱）的骨盆闭合性骨折（MLL）的疗效.方法 对21例MLL损伤患者行后环TSRH联合前环外固定架治疗.结果 术后随访12 ～24（中位数16）个月.21例患者术后关节活动度优9例,良8例,优良率80.9％（17/21）,中4例（19.1％）.21例患者中3例针道发生感染,经处理治愈.21例均为骨折一期愈合,无一例发生骨髓炎.结论 TileB、C Morel-Lavallée损伤患者行后环TSRH联合前环外固定架治疗,手术创伤小,操作方便,固定确切,恢复骨盆稳定性,术后效果良好.Objective To review a treatment of Tile B and Tile C Morel-Lavall6e lesions with a texas scottish rite hospital （TSRH） and external fixation. Methods From September 2008 to September 2013, 21 patients were operated with a treatment with TSRH system and external fixation. Results Those 21 cases were followed up from 12 to 24 months with an average of 15.8 months. All fractures were healed without osteomyelitis and patients showed no sing of limp. The rate of good recovery was reached 80. 9% （ 17/21 ）. Conclusions Internal fixation with TSRH system and external fixation for treating Tile B and Tile C Morel-Lavallee lesions can result in a high success rate.

关 键 词：骨折固定术 仪器和设备 骨折固定术 方法 创伤和损伤 治疗 骨折 闭合性 治疗 骨盆骨 损伤 骨折 治疗 

分 类 号：R687.3[医药卫生—骨科学]