PDF(Pubmed)
Abstract：
UNASSIGNED: The proportion of Open Pelvic fractures in the paediatric population is relatively high. While operative fixation is the primary approach for managing Open Pelvic fractures in adults, there is limited literature on treatment outcomes in Children, particularly regarding long-term musculoskeletal, neurological, and urogenital function.
UNASSIGNED: This multicentre case series included paediatric patients (<18 years old) with Open Pelvic ring fractures treated at one of two major trauma centres in the Netherlands between January 1, 2001 and December 31, 2021. Data collection involved clinical records and long-term assessments, including musculoskeletal function, growth disorders, urogenital function, sexual dysfunction, and sensory motor function.
UNASSIGNED: A total of 11 patients were included, primarily females (73 %), with a median age at trauma of 12 years (P25-P75 7-14). Most patients had unstable Pelvic ring fractures resulting from high-energy trauma. Surgical interventions were common, with external fixation as the main initial surgical approach (n = 7, 70 %). Complications were observed in eight (73 %) patients. Musculoskeletal function revealed a range of issues in the lower extremity, daily activities, and mental and emotional domain. Long-term radiologic follow-up showed high rates of Pelvic malunion (n = 7, 64 %). Neurological function assessment showed motor and sensory function impairment in a subset of patients. Urogenital function was moderately affected, and sexual dysfunction was limited with most respondents reporting no issues.
UNASSIGNED: Paediatric Open Pelvic fractures are challenging injuries associated with significant short-term complications and long-term musculoskeletal and urogenital issues. Further research is needed to develop tailored treatment strategies and improve outcomes of these patients.
UNASSIGNED: This multicentre case series included paediatric patients (<18 years old) with Open Pelvic ring fractures treated at one of two major trauma centres in the Netherlands between January 1, 2001 and December 31, 2021. Data collection involved clinical records and long-term assessments, including musculoskeletal function, growth disorders, urogenital function, sexual dysfunction, and sensory motor function.
UNASSIGNED: A total of 11 patients were included, primarily females (73 %), with a median age at trauma of 12 years (P25-P75 7-14). Most patients had unstable Pelvic ring fractures resulting from high-energy trauma. Surgical interventions were common, with external fixation as the main initial surgical approach (n = 7, 70 %). Complications were observed in eight (73 %) patients. Musculoskeletal function revealed a range of issues in the lower extremity, daily activities, and mental and emotional domain. Long-term radiologic follow-up showed high rates of Pelvic malunion (n = 7, 64 %). Neurological function assessment showed motor and sensory function impairment in a subset of patients. Urogenital function was moderately affected, and sexual dysfunction was limited with most respondents reporting no issues.
UNASSIGNED: Paediatric Open Pelvic fractures are challenging injuries associated with significant short-term complications and long-term musculoskeletal and urogenital issues. Further research is needed to develop tailored treatment strategies and improve outcomes of these patients.
摘要：
■小儿人群中开放性骨盆骨折的比例相对较高。虽然手术固定是治疗成人开放性骨盆骨折的主要方法，关于儿童治疗结果的文献有限，特别是关于长期的肌肉骨骼，神经学,和泌尿生殖系统功能。
此多中心病例系列包括2001年1月1日至2021年12月31日在荷兰两个主要创伤中心之一治疗的小儿骨盆环开放性骨折患者（<18岁）。数据收集涉及临床记录和长期评估，包括肌肉骨骼功能，生长障碍,泌尿生殖功能,性功能障碍,和感觉运动功能。
■共纳入11例患者，主要是女性（73%），创伤时的中位年龄为12岁（P25-P757-14）。大多数患者由于高能量创伤而导致不稳定的骨盆环骨折。手术干预很常见，以外固定为主要初始手术方法（n=7，70％）。8例（73%）患者出现并发症。肌肉骨骼功能揭示了下肢的一系列问题，日常活动,以及精神和情感领域。长期放射学随访显示盆腔不愈合的发生率很高（n=7，64％）。神经功能评估显示部分患者的运动和感觉功能受损。泌尿生殖功能受到中度影响，性功能障碍有限,大多数受访者报告无问题.
儿科开放性骨盆骨折是与重大短期并发症和长期肌肉骨骼和泌尿生殖系统问题相关的具有挑战性的损伤。需要进一步的研究来制定量身定制的治疗策略并改善这些患者的预后。
此多中心病例系列包括2001年1月1日至2021年12月31日在荷兰两个主要创伤中心之一治疗的小儿骨盆环开放性骨折患者（<18岁）。数据收集涉及临床记录和长期评估，包括肌肉骨骼功能，生长障碍,泌尿生殖功能,性功能障碍,和感觉运动功能。
■共纳入11例患者，主要是女性（73%），创伤时的中位年龄为12岁（P25-P757-14）。大多数患者由于高能量创伤而导致不稳定的骨盆环骨折。手术干预很常见，以外固定为主要初始手术方法（n=7，70％）。8例（73%）患者出现并发症。肌肉骨骼功能揭示了下肢的一系列问题，日常活动,以及精神和情感领域。长期放射学随访显示盆腔不愈合的发生率很高（n=7，64％）。神经功能评估显示部分患者的运动和感觉功能受损。泌尿生殖功能受到中度影响，性功能障碍有限,大多数受访者报告无问题.
儿科开放性骨盆骨折是与重大短期并发症和长期肌肉骨骼和泌尿生殖系统问题相关的具有挑战性的损伤。需要进一步的研究来制定量身定制的治疗策略并改善这些患者的预后。
