骨盆及髋臼骨折王满宜.ppt

骨盆及髋臼骨折Fractures of Pelvis and Acetabulum Fractures of Pelvis ?Pelvic pathology: Undisplaced/minmally displaced/displaced: Stable fracture Partially stable fracture (rotational) Completely unstable (rotational and vertically/translationally) Isolated iliac wing fractures Undisplaced pubic ramii fractures Transverse fractures of sacrum below pelvic ring Os coccygis fracturesAll pelvic ligaments intact! Unstable pelvic fractures: Partially stable: Rotationally unstable: External/internal rotation (lateral compression) Flexion/extension Abduction/adduction Com