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作者

Tao,Fulin Dong,Jinlei Wang,Gang Ma,Xianzhong Wang,Guanglin Wang,Jiandong Shi,Zhanying Feng,Wei Zhu,Shiwen Lyu,Gang Liu,Guangyao Sun,Dahui Sun,Yuqiang Li,Ming Li,Weixu Zhuang,Yan Chen,Kaifang Zhou,Dapeng Zhou,Qishi Lin,Zhangyuan Yi,Chengla Zheng,Longpo Guan,Jianzhong Hou,Zhiyong Guo,Shuquan Guo,Xiaodong Guo,Xiaoshan Qin,Xiaodong Chen,Hua Fan,Shicai Zhou,Dongsheng Li,Lianxin

作者单位

²⁶Jiangsu Provincial People′s Hospital, Nanjing, 210029, China ²Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China ¹⁹Xiangya Hospital, Central South University, Changsha, 410008, China ²⁸Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China ⁷Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010030, China ³Henan Luoyang Orthopedic-Traumatological Hospital, Zhengzhou, 450016, China ¹¹First Hospital of Jilin University, Changchun, 130021, China ¹²Shanghai Sixth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, China ²⁷General Hospital of PLA, Beijing, 100853, China ⁵Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, China ¹⁵Honghui Hospital Affiliated to Xi′an Jiaotong University, Xi′an, 710054, China ⁴West China Hospital, Sichuan University, Chengdu, 610041, China ⁹Affiliated Traditional Chinese Medicine Hospital of Xinjiang Medical University, Urumqi, 830000, China ⁶Liuzhou People′s Hospital, Liuzhou, 545006, China ¹³Ningbo Sixth Hospital, Ningbo, 315040, China ¹⁷General Hospital of Northern Theater Command of PLA, Shenyang, 110016, China ¹⁸First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China ²¹Tenth People′s Hospital Affiliated to Tongji University, Shanghai, 200072, China ²³Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China ¹⁶Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China ²²First Affiliated Hospital of Bengbu Medical University, Bengbu, 233004, China ¹⁰China-Japan Union Hospital of Jilin University, Changchun, 130033, China ¹Shandong Provincial Hospital Affiliated, Shandong First Medical University, Jinan, 250014, China ²⁵Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027, China ⁸Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China ¹⁴Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China ²⁰Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China ²⁴First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

刊名

Chinese Journal of Trauma

年份

2025

卷号

Vol.41 No.8

页码

709-720

ISSN

1001-8050

关键词

Lumbosacral plexus Pelvis Sacroiliac complex Surgical procedures, minimally invasive Wounds and injuries

摘要

Sacroiliac complex injuries are commonly seen in high-energy pelvic fractures. The injuries make a big difference in treatment patterns due to the diverse injury types, posing considerable challenges in formulating optimal treatment strategies, and hence are persistent clinical difficulties in orthopedic trauma. The clinical management of sacroiliac complex injuries presents several key challenges such as a non-negligible rate of missed diagnoses in associated vascular and visceral injuries, abs...更多

Sacroiliac complex injuries are commonly seen in high-energy pelvic fractures. The injuries make a big difference in treatment patterns due to the diverse injury types, posing considerable challenges in formulating optimal treatment strategies, and hence are persistent clinical difficulties in orthopedic trauma. The clinical management of sacroiliac complex injuries presents several key challenges such as a non-negligible rate of missed diagnoses in associated vascular and visceral injuries, absence of standardized protocols for surgical approaches and reduction-fixation strategies across different injury patterns, and ongoing controversies regarding surgical indications and optimal timing for patients combined with concomitant lumbosacral plexus injuries. Currently, no systematic clinical guidelines are available for the diagnosis and treatment of sacroiliac complex injuries both domestically and internationally. To this end, the Pelvic and Acetabular Surgery Group, Orthopedic Branch, China International Exchange and Promotive Association for Medical and Health Care and Orthopedic Physician Branch, Chinese Medical Doctor Association organized a panel of domestic experts in the field to develop the Clinical guideline for the diagnosis and treatment of sacroiliac complex injuries , based on evidence-based medicine and adhering to the principles of scientific rigor, clinical applicability, and innovation. These guidelines provided 11 recommendations covering diagnosis, therapeutic principles and techniques, management protocols for lumbosacral plexus injuries, outcome evaluation, and postoperative rehabilitation pathways, etc., aiming to standardize the clinical management of sacroiliac complex injuries.收起

文献类型

期刊