[Is there a classification of pelvic ring injuries, which takes the trauma mechanism, morphology and stability relations into consideration and thereby gives references for subsequent therapy?].
In contrast to earlier classifications, Tile's classification of pelvic ring disruptions considers mechanism of injury, clinical and x-ray evaluations and is therefore almost universally accepted. We propose a more comprehensive classification which gives a guide for treatment of these complex injuries. Moreover it can be used to compare results from different authors. We classify types A-D pelvic injuries according to stability. Type A consists of fractures of the pelvis not involving the ring, type B of stable rotational injuries. Type C and D encompass the unstabile injuries: C is purely rotational and D has a combined rotational and vertical instability. The location of injury is indicated by adding numbers 1-9 (1: rupture of symphysis pubis; 2: transpubic fracture; 3: acetabular fracture; 4: iliac wing fracture; 5: sacroiliac fracture-dislocation; 6: sacroiliac disruption; 7: sacral wing fracture; 8: transforaminal sacral fracture; 9: central sacral fracture). These numbers are arranged in increasing order, one hemipelvis after the other. Thus, in case of a complex pelvic injury with rotational instability on one side and vertical instability on the other each hemipelvis may be classified separately.
III. Chirurgische Klinik, Klinik für Unfall- und Wiederherstellungschirurgie, Zentralklinikum Augsburg.
E
E
Mayr
W
W
Braun
A
A
Rüter
D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000145:classification* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000145:classification* / Q000601:surgery; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery
Gibt es eine Klassifikation der Beckenringverletzungen, die Unfallmechanismus, Morphologie und Stabilitätsverhältnisse berücksichtigt und damit Hinweise auf die einzuschlagende Therapie gibt?