摘要
目的介绍经皮加压螺钉固定髂骨后方骨折术,并就手术方法、手术指征、手术时机、操作要点及手术效果进行讨论。方法2003年1月至2004年7月对12例髂后方骨折伴前环不稳的患者进行了经皮内固定术。术后行X线片检查。结果术后12例患者全部获得随访,随访时间5～17个月。12例患者骨盆环骨折全部骨性愈合,垂直移位完全纠正,2例遗留轻度旋转移位,无血管神经损伤等并发症发生。结论经皮加压螺钉固定髂骨后方骨折损伤小、出血少、固定效果良好,是一种有前景的手术治疗方法。
Objective To present the technique for percutaneous placement of cannulated screws in the iliac wing, and to describe the surgical technique and the methods ,the indication,the time,the key of operation and the clinic outcomes of the technique. Methods Through the anatomy study of ilium, a wider columns structure at the posterior ilium was found, which was named “the posterior columns of pelvis”, and then measure the parameter of the structure. Twelve patients with the injuries in the iliac wing and the anterior ring of pelvis were treated with percutaneous cannulated screws internal fixtion. Results All of the fractures healed in the followed up period. Vertical replacement were all completely corrected. Two of the cases left behind slight rotary replacement, and no complication were found. Conclusions The technique of percutaneous cannulated screws internal fixtion for treating the posterior portion of the iliac wing fractures has the advantages of small trauma, less bleeding stiff fixtion, which is an ideal and minimally invasive technique.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2005年第24期1580-1582,共3页
Chinese Journal of Surgery
关键词
骨折
髂骨
经皮
空心螺钉
Fractures
Lium
Percutaneous
Cannulated screws
