前路外固定支架联合后路M形钢板立体固定治疗骨盆Tile C型骨折  

Anterior external fixation combined with posterior M-shaped plate internal fixation in the treatment of pelvic Tile C-type fracture

作　　者：黄徐兵[1] 赵刚[1] 邹欣欣[1] 于海洋[1] 李超[1] HUANG Xu-bing;ZHAO Gang;ZOU Xin-xin;YU Hai-yang;LI Chao(Dept of Orthopaedics,the People′s Hospital of Fuyang,Fuyang,Anhui236000,China)

机构地区：[1]阜阳市人民医院骨科,安徽阜阳236000

出　　处：《临床骨科杂志》2018年第2期190-192,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨前路外固定支架联合后路M形钢板立体固定治疗骨盆Tile C型骨折的临床疗效。方法采用前路外固定支架联合后路M形钢板立体固定治疗12例骨盆Tile C型骨折患者,评价患者术后功能恢复及并发症情况。结果患者均获得随访,时间6~43个月。手术切口全部甲类愈合,术后未出现深部感染、医源性血管及神经损伤等并发症。末次随访功能恢复情况采用Majeed评分系统评价疗效:优8例,良4例。结论前路外固定支架联合后路M形钢板立体固定治疗骨盆Tile C型骨折安全有效,具有创伤小、功能恢复快、效果满意的优点。Objective To investigate the clinical efficacy of pelvic Tile C-type fractures treated with anterior external fixation combined with posterior M-shaped plate internal fixation.Methods Treatment of pelvic Tile C-type fractures with anterior external fixation and posterior M-shaped plate internal fixation in 12 cases were performed,and the postoperative functional recovery and complication were evaluated.Results Patients were followed up for 6~43 months.All of the incisions were healed,no postoperative deep infection,iatrogenic blood vessels,nerve injury and other complications occurred.At the last follow-up,the Majeed scoring system was used to evaluate the functional recovery,the results were excellent in 8 cases and good in 4.Conclusions Anterior external fixation combined with posterior M-shaped plate internal fixation is a safe and effective method for the treatment of pelvic Tile C-type fractures,which has the advantages of less trauma,quick recovery and satisfactory results.

关 键 词：骨盆骨折 内固定 外固定 M形钢板 

分 类 号：R683.3[医药卫生—骨科学] R687.3[医药卫生—外科学]