摘要
背景:骨盆骨折在临床中较为常见,植入内固定物方法多、难度大,如治疗不当,会引起骨盆周围软组织损伤、皮肤坏死、感染,是导致临床内固定治疗失败的重要原因之一。目的:从生物力学角度探讨骨盆骨折内固定治疗的最佳方法并评价其效果。方法:应用计算机检索2004-01/2011维普数据库中与骨盆骨折有关的文献。检索关键词为骨盆骨折;内固定;效果评价。纳入与螺钉、钢板内固定置入治疗骨盆骨折相关的文献进行分析。结果与结论:骨盆骨折是一种高能量的损伤,作为临床发生率逐年升高、致残率高和病死率高的一种疾病,进行相关生物力学研究有助于解释骨盆骨折的发生机制、骨折分型并对最终的治疗方式的选择有着非常重要的作用。骨折的解剖复位和牢靠的固定,以及螺钉、钢板的内固定技术都很重要,开发研制创伤小、感染率低、固定牢靠、相容性良好的内固定置入体,是目前治疗不稳定型骨盆骨折的重要方向。
BACKGROUND：Pelvic fractures are more common in clinic.There are various internal fixation methods for implantation that are difficult.If not treated properly,it can cause pelvic soft tissue injury,skin necrosis,infection,leading to clinical failure of internal fixation as one important reason.OBJECTIVE：To investigate the optimal internal fixation therapy for pelvic fractures and to evaluate its effect.METHODS：A computer-based online search of VIP database（2004-01/2011） was conducted to retrieve articles regarding screw and plate internal fixation of treatment of pelvic fractures using the keywords of ＂pelvic fracture,internal fixation,effect evaluation＂.RESULTS AND CONCLUSION：Pelvic fracture is a high-energy injury with high morbidity and high mortality,and the incidence is increased year by year in clinic.Relevant biomechanical studies are useful to explain the action mechanism and fracture type of pelvic fractures and play a very important role in the final choice of treatment.Anatomic reduction and solid fixation of pelvic fractures as well as screws and plate internal fixation are very important.To develop an implant with small wound,low infection rate,stable fixation and good compatibility is the current direction in the treatment of unstable pelvic fractures.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2011年第48期9070-9073,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
