合并骶骨翼骨折脱位的Tile C3型骨盆骨折手术治疗一例  

Surgical treatment of Tile C3 pelvic fractures combined with sacrum swing fracture-dislocation:1 case report

作　　者：张平[1] 李光磊[1] 关育忠 王冠[1] 

机构地区：[1]淄博市临淄区人民医院骨一科,山东255400

出　　处：《中国骨与关节杂志》2015年第2期159-160,共2页Chinese Journal of Bone and Joint

摘　　要：我科于2013年12月手术治疗伴骶骨翼骨折、脱位的Tile C3型骨盆骨折1例,随访半年,报告如下。 临床资料 一、一般资料 患者,男,45岁。因车祸伤2 h急诊入院。受伤机制：建筑物旁站立位被汽车挤压、上半身扭转受伤致腰-盆分离。入院情况：BP 70/50 mm Hg,腰骶部及大腿皮下血肿,骨盆变形。右足屈伸肌力IV＋级,右下肢其余肌力0级,左侧肢体肌力、感觉正常。大小便失禁。CT：右侧L1～5横突骨折,双侧骶髂关节脱位、骶骨粉碎性骨折,其中右侧骶骨翼骨折、前脱位，双侧耻骨上下支等多处骨折（图1）。住院后外固定架临时固定，于ICU抗休克治疗，伤情稳定后于伤后第8天手术。Objective To investigate the surgical technique and clinical results of Tile C3 pelvic fractures combined with sacrum wing fracture-dislocation. Methods One patient with Tile C3 pelvic fractures, sacrum swing fractures and bilateral sacroiliac joint dislocation were treated with reduction and internal fixation through an ilioinguinal approach. Results According to the Matta standard, the results of fracture reduction were excellent. There was no fracture displacement at 6 weeks and 3 months after the operation by CT. Right foot muscle strength was decreased by I＋ grade due to the surgery, and the patient was completely recovered at the 2 months after the operation. Conclusions Excellent reduction, firm fixation and satisfactory clinical results can be achieved by the ilioinguinal approach in the treatment of Tile C3 pelvic fractures and sacrum wing fracture-dislocation.

关 键 词：骶骨 骨盆 骨折固定术 骨折 

分 类 号：R687.3[医药卫生—骨科学]