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首页> 外文期刊>Orthopedics >Early Postoperative Displacement of Combined Pelvic Ring Injury With Acetabular Fracture
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Early Postoperative Displacement of Combined Pelvic Ring Injury With Acetabular Fracture

机译：髋关节骨折组合骨盆损伤的早期术后移位

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摘要

Combined pelvic ring and acetabular injuries present a management challenge. The literature on this topic is scarce, with few outcomes studies available. This retrospective study assessed whether the incidence of postoperative displacement and loss of reduction is higher with combined injuries compared with isolated pelvic ring injuries and isolated acetabular fractures. The charts and radiographs of 33 patients with combined pelvic ring and acetabular fractures treated operatively during a 7-year period at a single institution were reviewed. Pelvic ring and acetabular displacements were measured during the early postoperative period and compared with final follow-up measurements (minimum 5 months after surgery). Measurements also were compared with those from isolated pelvic ring fractures (n=33) and isolated acetabular fractures (n=33). Groups were matched for injury pattern and were propensity-matched by age and Injury Severity Score. Patients with combined injuries and patients with isolated pelvic ring injuries had similar initial pelvic ring reductions on anteroposterior and outlet view radiographs. By final follow-up, the combined injury group had experienced significant additional pelvic ring displacement. The presence of combined injury was an independent risk factor for postoperative pelvic ring displacement. Initial postoperative acetabular displacement was higher in the combined injury group compared with the isolated acetabular fracture group (2.6 +/- 1.8 vs 1.1 +/- 1.1 mm). By final follow-up, apparent displacement decreased significantly for both groups. Patients with combined pelvic ring and acetabular fractures were more likely to have poorer acetabular reduction and additional displacement of the pelvic ring component during the postoperative period compared with patients with isolated injuries.
机译：骨盆环和髋臼损伤呈现了管理挑战。关于这一话题的文献是稀缺的，几乎没有任何结果。这种回顾性研究评估了术后移位和减少损失的发生率是否与孤立的骨盆损伤和分离的髋臼骨折相比，血液损伤更高。综述了33例骨盆环和髋臼骨折患者的图表和射线照相，在单一机构的7年期间可操作地治疗。术后早期测量骨盆环和髋臼位移，与最终的后续测量相比（手术后至少5个月）进行比较。将测量结果与来自分离的盆腔骨折（n = 33）和分离的髋臼骨折（n = 33）进行比较。群体与伤害模式相匹配，并通过年龄和伤害严重程度得分匹配。患有伤害和患者患者的骨盆环损伤的患者对前胸癌和出口视图X型射线照相具有相似的初始盆腔减少。通过最终的随访，合并的损伤组经历了重要的额外盆腔位移。组合损伤的存在是术后骨盆环位移的独立危险因素。与分离的髋臼骨折组相比，合并损伤组的初始术后髋臼位移较高（2.6 +/- 1.8 Vs 1.1 +/- 1.1mm）。通过最终随访，两组的表观位移显着下降。与患者在术后损伤的患者相比，骨盆环和髋臼骨折组合患者的患者更容易在术后期间具有较差的髋臼减少和盆腔组分的额外位移。

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  • 来源
    《Orthopedics》 |2017年第3期|共6页
  • 作者

    Hess Arthur E.; Johal Herman S.; OToole Robert V.; Nascone Jason W.;

  • 作者单位

    Univ Maryland Sch Med Dept Orthopaed R Adams Cowley Shock Trauma Ctr 22 S Greene St Baltimore;

    Univ Maryland Sch Med Dept Orthopaed R Adams Cowley Shock Trauma Ctr 22 S Greene St Baltimore;

    Univ Maryland Sch Med Dept Orthopaed R Adams Cowley Shock Trauma Ctr 22 S Greene St Baltimore;

    Univ Maryland Sch Med Dept Orthopaed R Adams Cowley Shock Trauma Ctr 22 S Greene St Baltimore;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 骨科学（运动系疾病、矫形外科学）;
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