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불안정성 골반골절에 대한 수술적 치료

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Author(s)
민병우송광순강철형김영수
Keimyung Author(s)
Min, Byung WooSong, Kwang SoonKang, Chul Hyung
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
대한골절학회지
Issued Date
1996
Volume
9
Issue
3
Abstract
Unstable pelvic bone fracture caused by high-energy trauma that can result in life-threatening situations in which intrapelvic hemorrhage and neurovascular injury. Long-term complications are frequently present, such as leg length discrepancy, gait disturbance and chronic low-back pain. Recently it is principle that it is mandatory to restore the anatomy of pelvic ring structure and to fix stably by means of internal fixation or external fixation for successful outcome after unstable pelvic ring injury. 26 cases of unstable pelvic bone fractures were treated operatively at the authors' hospital between 1992 and 1994. We analyse the clinical and the radiological result. The following results were obtained. 1. The incidence of the unstable pelvic bone fracture was 26 cases(18.4%) of all pelvic bone fractures(14l cases). 2. By the classification of modified Tile, type B 1 were 8 cases, type B2(3 cases), type C1(7 cases) and type C3(8 cases). 3. Associated organ injury were found most commonly in the acetabular fracture(8 cases), and other extremity fracture(8 cases), genitourinary system(6 cases) and hemopenitoneum(4 cases). 4. The specific fracture pattem was classified according to various anatomical locations such as transsymphysis(7 cases), transpubic(7 csaes), combination of the trassymphysis and traspubic(7 csses), trassacroiliac(7 cascs), tnesiliac(9 cases), transsacrel(l case) and sacroiliac fracture dislocation(l case). 5. According to the fracture location, following methods of stabilization were applied. For the ante rior portion of pelvic ring, plates(l3 cases), external fixators(3 cases) and wirings(3 cases) were used. For the posterior portion of pelvic ring, plates(9 cases), percutaneous iliosacral screws(3 cases) and lag screw(1 case) were used. 6. The results revealed as excellent in 20 cases, goad in 5 case and fair in 1 case. 7. Postoperative complications were fixation failure(2 cases), metal failure(1 case) and nerve injury(l case).
Alternative Title
Operative treatment of the Unstable Pelvic Bone Fracture
Keimyung Author(s)(Kor)
민병우
송광순
강철형
Publisher
School of Medicine
Citation
민병우 et al. (1996). 불안정성 골반골절에 대한 수술적 치료. 대한골절학회지, 9(3), 518–524. doi:  10.12671/jksf.1996.9.3.518
Type
Article
ISSN
1225-1682
DOI
 10.12671/jksf.1996.9.3.518
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37628
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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