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骨盆-髋臼骨折X线透视导航下闭合复位与经皮固定 被引量:24

Close-reduction and percutaneous fixation of pelvi-acetabular fractures with fluoro-navigation
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摘要 目的初探用X线透视导航辅助骨盆-髋臼骨折复位与固定手术。方法在获得骨折X线片和CT扫描的基础上进行图像重建。根据外科适应证,借助透视系统进行相应的骨折牵引闭合复位。若复位满意,便可和患者详细讨论手术计划。结果所有骶髂关节骨折脱位患者在应用这一技术进行固定时都未出现并发症。除少数患者外,术后CT扫描都显示螺钉固定位置满意。结论目前的手术适应证仍局限于闭合条件下进行的骨折复位。 Objective To explore the application of fluoro-navigation in close reduction and fixation of pelvi-acetabular fractures. Methods After imaging reconstruction from plan X-rays and CT tomographs, close reduction and fixation of pelvi-acetabular fractures were conducted under fluoro-navigation based on the indications. If the reduction was found satisfactory, surgical planning was discussed together with the patients. Results No complications occurred among patients with pelvi-acetabular dislocation. Apart from few cases postoperative CT scan showed satisfactory crew fixation. Conclusion The current experiences suggest that the fluoro-navigation is indicated for fixation of pelvi-acetabular fractures with close reduction.
出处 《中华创伤骨科杂志》 CAS CSCD 2005年第7期637-639,共3页 Chinese Journal of Orthopaedic Trauma
关键词 X线透视导航 骨盆骨折 髋臼骨折 闭合复位 Fluoro-navigation Pelvic fracture Acetabular fractures Close reduction
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参考文献4

  • 1Nelson DW, Duwelius PJ. CT-guided fixation of sacral fractures and sacroiliac joint disruptions. Radiology, 1991,180:527-532.
  • 2Tonetti J, Carrat L, Lavalle'e S, Pittet L, Merloz P,Chirossel JP. Percutaneous iliosacral screw placement using image guided techniques. Clin Orthop, 1998, (354):103-110.
  • 3Crowl AC, Kahler DM. Closed reduction and percutaneous fixation of anterior column acetabular fractures. Comput Aided Surg, 2002, 7:169-178.
  • 4Brown GA, Willis MC, Firoozbakhsh K, Barmada A, Tessman CL, Montgomery A. Computed tomography image guided surgery in complex acetabular fractures. Clin Orthop, 2000,(370):219-226.

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