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中华老年骨科与康复电子杂志 ›› 2022, Vol. 08 ›› Issue (06) : 380 -384. doi: 10.3877/cma.j.issn.2096-0263.2022.06.010

综述

微创治疗骨盆新月形骨折脱位的研究进展
裴璇1, 汪国栋2, 刘曦明2,()   
  1. 1. 430070 中国人民解放军中部战区总医院骨科;430081 武汉科技大学医学院
    2. 430070 中国人民解放军中部战区总医院骨科
  • 收稿日期:2022-03-01 出版日期:2022-12-05
  • 通信作者: 刘曦明
  • 基金资助:
    卫勤保障能力创新与生成专项(20WQ034)

Research progress in minimally invasive treatment of crescent fracture dislocation of pelvis

Xuan Pei1, Guodong Wang2, Ximing Liu2,()   

  1. 1. Department of Orthopedics, Central theater Command General Hospital of the PLA, Wuhan430070, China; School Of Medicine, Wuhan University of science and technology, Wuhan 430081, China
    2. Department of Orthopedics, Central theater Command General Hospital of the PLA, Wuhan430070, China
  • Received:2022-03-01 Published:2022-12-05
  • Corresponding author: Ximing Liu
引用本文:

裴璇, 汪国栋, 刘曦明. 微创治疗骨盆新月形骨折脱位的研究进展[J]. 中华老年骨科与康复电子杂志, 2022, 08(06): 380-384.

Xuan Pei, Guodong Wang, Ximing Liu. Research progress in minimally invasive treatment of crescent fracture dislocation of pelvis[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(06): 380-384.

骨盆新月形骨折脱位(CFDP)是骨盆骨折的一种特殊类型,是由侧方挤压引起的一种不稳定的外伤性骨盆后环损伤。近些年CFDP的内固定方式不段发生变化,从最初的以钢板内固定为主要方式逐渐发展为闭合复位经皮螺钉内固定,微创手术已然成为CFDP手术治疗的趋势和方向。这些年,CFDP微创治疗已得到快速发展,但微创治疗的闭合复位、精准置钉及手术适应证仍是骨科医师工作中遇到的常见难题。本文主要对CFDP的致伤原因、损伤机制、分型、诊断及微创治疗作一综述。

Crescent fracture dislocation of pelvis (CFDP) is a special type of pelvic fracture. It is an unstable traumatic posterior pelvic ring injury caused by lateral compression. In recent years, the internal fixation of CFDP has changed from the initial plate internal fixation to closed reduction and percutaneous screw internal fixation. Minimally invasive surgery has become the trend and direction of CFDP surgical treatment. In recent years, the minimally invasive treatment of CFDP has developed rapidly,but closed reduction, accurate screw placement and surgical indications of minimally invasive treatment are still common problems encountered by orthopedic physician. This paper reviews the causes, mechanism, classification, diagnosis and minimally invasive treatment of CFDP.

图1~3 CT轴位显示骨盆新月形骨折Day分型。图1 DayⅠ型骨折线累及骶髂关节前三分之一 图2 DayⅡ型骨折累及骶髂关节的中间三分之一 图3 DayⅢ型骨折累及骶髂关节后三分之一
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