目的 总结皮下前环内置固定架（INFIX）治疗骨盆骨折致股神经麻痹的原因及处理方法。
方法 回顾2013年4月-2015年1月经INFIX方法治疗后发生股神经麻痹的3例骨盆骨折患者临床资料。其中女2例，男1例；年龄分别为26、19、51岁；均为交通事故致伤。INFIX方法治疗后出现股神经麻痹症状，经影像学、神经电生理及彩色超声多普勒检查确诊。待骨折愈合后，二次手术取出内固定物，并联合营养神经治疗；其中2例行股神经松解。
结果 患者分别获随访12、22、15个月，股四头肌肌力恢复至4级，可负重行走伴跛行。
结论 INFIX治疗骨盆骨折时，如螺钉植入过深、连杆安放层次错误、连杆折弯不充分均可能导致股神经麻痹。对症处理后仍存在股四头肌力量弱以及步态改变。
Citation：
韩巍, 吴新宝, 姜钰, 王军强, 诸寅. 内置固定架治疗骨盆骨折致股神经麻痹三例. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(4): 523-524. doi: 10.7507/1002-1892.20160104
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| 1. |
Hesse D, Kandmir U, Solberg B, et al. Femoral nerve palsy after pelvic fracture treated with INFIX:a case series. J Orthop Trauma, 2015, 29(3) :138-143.
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| 2. |
Vaidya R, Colen R, Vigdorchik J, et al. Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation:initial clinical series. J Orthop Trauma, 2012, 26(1) :1-8.
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| 3. |
Scheyerer MJ, Zimmermann SM, Osterhoff G, et al. Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures. BMC Research Notes, 2014, 7:133.
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| 4. |
Vaidya R, Oliphant B, Jain R, et al. The bikini area and bikini line as a location for anterior subcutaneous pelvic fixation:an anatomic and clinical investigation. Clin Anat, 2013, 26(3) :392-399.
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| 5. |
Al-Ajmi A, Rousseff RT, Khuraibet AJ. Iatrogenic femoral neuropathy:two cases and literature update. J Clin Neuromuscul Dis, 2010, 12(2) :66-75.
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- 1. Hesse D, Kandmir U, Solberg B, et al. Femoral nerve palsy after pelvic fracture treated with INFIX:a case series. J Orthop Trauma, 2015, 29(3) :138-143.
- 2. Vaidya R, Colen R, Vigdorchik J, et al. Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation:initial clinical series. J Orthop Trauma, 2012, 26(1) :1-8.
- 3. Scheyerer MJ, Zimmermann SM, Osterhoff G, et al. Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures. BMC Research Notes, 2014, 7:133.
- 4. Vaidya R, Oliphant B, Jain R, et al. The bikini area and bikini line as a location for anterior subcutaneous pelvic fixation:an anatomic and clinical investigation. Clin Anat, 2013, 26(3) :392-399.
- 5. Al-Ajmi A, Rousseff RT, Khuraibet AJ. Iatrogenic femoral neuropathy:two cases and literature update. J Clin Neuromuscul Dis, 2010, 12(2) :66-75.
