"Utilizing Hoffmann External Fixator to Stabilize Unstable Pelvic Fractures"

霍夫曼氏骨外固定術用於不穩定骨盆骨折之治療經驗

黃聰仁(Tsung-Jen Huang) ； 陳力輝(Lih-Hwei Chen) ； 吳基銓(Chi-Chuan Wu) ； 翁文能(Wen-Neng Ueng) ； 施俊雄(Chun-Hsiung Shih)

《Journal of Orthopaedic Surgery Taiwan》 6卷4期 (1989/12) Pp. 161-168

摘要

從1981年1月至1988年1月，嘗試以霍夫曼氏骨外固定術治療不穩定骨盆骨折。共有27位病人接受該項手術。對於骨盆骨折的分類仍採一般常用的Pennal及Tile氏分類將前後壓迫性骨折(A-P Compression)，區分為第一、二、三型及Young氏分類將側面壓迫性骨折(lat-eral compression)區分為第一、二、三型六窌析我們的病例及其追蹤結果。
霍夫曼氏骨外固定術對於骨盆前環斷離的復位有84.6%及後環骨折斷離病例有76.9%的滿意率。對Buckolz氏第二型前後壓迫性骨折及Young氏第一、二基側面性骨折追蹤顯示，有100%滿意率。
我們認為霍夫曼氏骨外固定術對於不穩定骨盆骨折仍不失為一良好工具。對於減少病患疼痛，減少出血，裨益於護理照顧及讓病患能早日接受復健工作。但是霍夫曼氏骨外固定術仍有它的缺點，對於一些比較複雜性的骨折，如薦腸關節斷湇或合併腸骨、薦骨骨折者，如不佐以輔助性內固定術，將無法達到滿意的結果。

並列摘要

The Hoffmann device still has a certain role in the treatment of pelvic fractures. It aids in early resuscitation and stabilization of the patients for control of hemorrhage. Daily nursing care is facilitated. It also helps in relief of pain and early mobilization of patients. However, the Hoffmann device still has disadvantages. It cannot stabilize ade-quately complicated posterior arch fracture. Adjuvant internal fixation sometimes may be needed to achieve better reduction.
Pennal and Tile's classification (A-P compression. Lateral compres-sionand vertical shear fractures) helps in clinical assessment and radiologic evaluation of pelvic fractures. Subgroupings by Bucholz’s A-P compression (Type I , II and III) and Young’s lateral compression (Type I , II and III) can make us comprehend trauma severity and the force vectors more objectively helpful in selecting cases which will achieve better reduction and maintenance with the Hoffmann device.

並列關鍵字

Hoffmann EF ； pelvic fractures