微创治疗骨盆新月形骨折脱位的研究进展

Research progress in minimally invasive treatment of crescent fracture dislocation of pelvis

骨盆新月形骨折脱位(CFDP)是骨盆骨折的一种特殊类型,是由侧方挤压引起的一种不稳定的外伤性骨盆后环损伤。近些年CFDP的内固定方式不段发生变化,从最初的以钢板内固定为主要方式逐渐发展为闭合复位经皮螺钉内固定,微创手术已然成为CFDP手术治疗的趋势和方向。这些年,CFDP微创治疗已得到快速发展,但微创治疗的闭合复位、精准置钉及手术适应证仍是骨科医师工作中遇到的常见难题。本文主要对CFDP的致伤原因、损伤机制、分型、诊断及微创治疗作一综述。

Crescent fracture dislocation of pelvis(CFDP)is a special type of pelvic fracture.It is an unstable traumatic posterior pelvic ring injury caused by lateral compression.In recent years,the internal fixation of CFDP has changed from the initial plate internal fixation to closed reduction and percutaneous screw internal fixation.Minimally invasive surgery has become the trend and direction of CFDP surgical treatment.In recent years,the minimally invasive treatment of CFDP has developed rapidly,but closed reduction,accurate screw placement and surgical indications of minimally invasive treatment are still common problems encountered by orthopedic physician.This paper reviews the causes,mechanism,classification,diagnosis and minimally invasive treatment of CFDP.