臨床整形外科57巻9号

2022年09月発行

特集 わかる！ 骨盤骨折（骨盤輪損傷）　診断＋治療＋エビデンスのUpdate

治療方針—手術治療の適応，前方固定の要否

著者： 鈴木卓¹

所属機関： ¹帝京大学医学部附属病院外傷センター

ページ範囲：P.1075 - P.1081

骨盤輪骨折の安定性の判断はCT画像を用いても容易ではないことがある．Dynamicな評価法である損傷骨盤に力学的ストレスを加えて骨盤前方部が動揺するかをみるテスト(EUA)は有用であり，それに基づいた手術適応基準がいくつか報告されている．しかし，前方と後方のどちらの固定を優先させるのか，あるいは前後両方の固定の必要性について，統一された基準はいまだ確立されていない．

参考文献

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