稳定型骨盆前环骨折移位伤残评定20例

20 cases of forensic identification about the stable anterior pelvic ring fracture with displacement

目的探讨通过骨盆骨折移位距离来判定骨盆前环骨折畸形愈合。方法通过测量骨盆前环骨折伤者影像学资料的骨折移位最大距离;对20例被鉴定人进行回访,询问其遗留的症状。结果 20例中有14例(70%)骨盆前环骨折移位大于4mm;在16例接受回访的被鉴定人中,有12例(75%)长时间站立或行走后有盆部隐痛或明显疼痛症状。结论骨盆前环有两处或以上部位骨折且移位超过4mm,多数可考虑认定骨盆畸形愈合;骨盆前环单处骨折,移位超过6mm,可考虑认定骨盆畸形愈合。

Objective To study the exact displacement distance of pelvis fracture for evaluating deformity of the anterior pelvic ring. Methods Measure the maximum distance of displacement on the radiographs which all cases have the fractured anterior pelvic ring. Inquiry if there are persistent symptoms after the forensic medicine appraisal has been done. Results There are 14（70%） cases which the fracture displacement distance of anterior pelvic ring is above 4 mm in all 20 cases, and 16 responds in 20 cases we have reviewed who have undergone stable fracture of the anterior pelvic ring, 12 of them （75%） complain about pain in the pelvis, the character of the symptom for someone is slight pain, but the significant pain to the others after standing up or walking for long time. Conclusion When the anterior pelvic ring displacement distance is above 4mm, deformity of the pelvis should be assessed for the patients whose two or more parts of the anterior pelvic ring have fractured. When the displacement of anterior pelvic ring is above 6mm, deformity of the pelvis should be assessed for those patients whose single part of the anterior pelvic ring has fractured.