지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 422 - 426 (5page)
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초록· 키워드
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Purpose: To analyze the effectiveness of anterior pelvic plating and subsequent percutaneous sacroiliac joint screw fixation in patients with unstable pelvic ring injuries.
Materials and Methods: Thirty-two patients were included with twenty-one males and eleven females. The mean age was 41 years (range, 19-76). The mean follow-up period was 51 months (range, 36-73). According to AO-OTA classification, there were 11 cases of B2 injuries, 8 cases of B3 injuries, 9 cases of C1 injuries, 2 cases of C2 injuries and 2 cases of C3 injuries. In the posterior lesions,there were 20 cases of sacral fractures and 12 cases of sacroiliac joint disruptions or dislocations. Anterior pelvic plating and subsequent percutaneous sacroiliac joint fixation were performed. Results: The clinical results were 16 cases of excellent, 10 cases of good, 4 cases of moderate and 2 cases of poor functional results.
The 2 cases out of 7 moderate reductions had poor functional results with residual neurologic symptoms. The radiological results were 16 cases of anatomic, 9 cases of nearly anatomic and 7 cases of moderate reduction. All patients were healed except 3 cases of nonunion at the pubic ramus. The complications encountered were 3 cases of screw loosening, 2 cases of anterior plate breakage and 1 case of postoperative infection. Conclusion: In patients with unstable pelvic ring injuries, anterior pelvic plating and subsequent percutaneous sacroiliac joint screw fixation may be a useful surgical option. The radiological results and residual neurologic symptoms had effects on its functional results.
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참고문헌 (17)
참고문헌 신청
/ 1996 / Fracture and dislocation compendium. Orthopaedic Trauma Association Committee for Coding and Classification / J Orthop Trauma 10 (Suppl 1) : 1 ~ 154
Burgess AR / 1990 / Pelvic ring disruptions: effective classification system and treatment protocols / J Trauma 30 : 848 ~ 856
Denis F / 1988 / Sacral fractures: an important problem. Retrospective analysis of 236 cases / Clin Orthop Relat Res 227 : 67 ~ 81
Hirvensalo E / 1993 / A new approach to the internal fixation of unstable pelvic fractures / Clin Orthop Relat Res : 28 ~ 32
Keating JF / 1999 / Early fixation of the vertically unstable pelvis: the role of iliosacral screw fixation of the posterior lesion / J Orthop Trauma 13 : 107 ~ 113
Burgess AR / 1990 / Pelvic ring disruptions: effective classification system and treatment protocols / J Trauma 30 : 848 ~ 856
Denis F / 1988 / Sacral fractures: an important problem. Retrospective analysis of 236 cases / Clin Orthop Relat Res 227 : 67 ~ 81
Hirvensalo E / 1993 / A new approach to the internal fixation of unstable pelvic fractures / Clin Orthop Relat Res : 28 ~ 32
Keating JF / 1999 / Early fixation of the vertically unstable pelvis: the role of iliosacral screw fixation of the posterior lesion / J Orthop Trauma 13 : 107 ~ 113
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