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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 evaluate the anomalous healing of anterior pelvic anterior fracture by the displacement of pelvic fracture. Methods The maximum distance of fracture displacement was measured by imaging data of the anterior pelvic fractures. Twenty patients were retrospectively interviewed to find out the remaining symptoms. Results Fourteen (70%) of the 20 patients had anterior pelvic anterior fracture displacement greater than 4 mm. Of the 16 patients evaluated retrospectively, 12 (75%) had pelvic pain or obvious pain after prolonged standing or walking symptom. Conclusion There are two or more parts of the anterior pelvic fracture and the displacement of more than 4mm, the majority can be considered to identify pelvic deformity healing; pelvic anterior ring single fracture, the displacement of more than 6mm, consider the recognition of pelvic deformity healing.