骨盆骨折和下肢骨折pelvic fractures and fractures of the lower extremity
中南大学湘雅二医院骨科 倪江东
Contents
Pelvic Fractures Fractures of Femoral Neck Intertrochanteric Fractures Fractures of the Shaft of the Femur Fractures of the Tibia and Fibula
Pelvic Fractures
Anatomy
Pelvic Fractures
Anatomy
髂腰韧带
骶棘韧带
骶结节韧带
骶髂关节
耻骨联合
Pelvic Fractures
Classification Location of Fracture Avulsion fractures Sacrum and coccyx fractures Single breaks in the pelvic ring Pelvic ring disruptions ——two or more breaks in the pelvic ring
Pelvic Fractures
Sacrum and Coccyx fractures
Pelvic Fractures
Avulsion fractures
髂前上棘撕脱骨折
Pelvic Fractures
Single breaks in the pelvic ring
Pelvic Fractures
Pelvic ring disruptions –two or more breaks in the pelvic ring
AO分型
A型 A-1 – Fracture of innominate bone; avulsion A-2 – Fracture of innominate bone; direct blow A-3 – Transverse fracture of sacrum and coccyx B型 B-1 – Unilateral partial disruption of posterior arch, external rotation (“open book” injury) B-2 – Unilateral, partial disruption of posterior arch, internal rotation (lateral compression injury) B-3 – Bilateral, partial lesion of posterior arch C型 C-1 – Unilateral, complete disruption of posterior arch C-2 – Bilateral, ipsilateral complete, contralateral incomplete C –3 – Bilateral, complete disruption