髂前下棘椎弓根钉棒内固定技术在骨盆骨折中的应用
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作者Author单位AddressE-Mail
祖罡 ZU Gang 杭州市萧山区第一人民医院骨二科, 浙江 杭州 311200 Department of Orthopeadics, the First People's Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China hztruegreen@163.com 
毕大卫 BI Da-wei 杭州市萧山区第一人民医院骨二科, 浙江 杭州 311200 Department of Orthopeadics, the First People's Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China  
曹奇勇 CAO Qi-yong 北京积水潭医院创伤骨科, 北京 100035  
胡钢锋 HU Gang-feng 杭州市萧山区第一人民医院骨二科, 浙江 杭州 311200 Department of Orthopeadics, the First People's Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China  
马海涛 MA Hai-tao 杭州市萧山区第一人民医院骨二科, 浙江 杭州 311200 Department of Orthopeadics, the First People's Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China  
陈亿民 CHEN Yi-min 杭州市萧山区第一人民医院骨二科, 浙江 杭州 311200 Department of Orthopeadics, the First People's Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China  
王辉 WANG Hui 杭州市萧山区第一人民医院骨二科, 浙江 杭州 311200 Department of Orthopeadics, the First People's Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China  
朱元 ZHU Yuan 杭州市萧山区第一人民医院骨二科, 浙江 杭州 311200 Department of Orthopeadics, the First People's Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China  
期刊信息:《中国骨伤》2016年,第29卷,第4期,第369-372页
DOI:10.3969/j.issn.1003-0034.2016.04.017
基金项目:
中文摘要:

目的:探讨应用髂前下棘椎弓根钉棒内固定技术(supra-acetabular spinal pedicle screws and a subcutaneous connecting rod,INFIX)在骨盆前环骨折治疗中的临床应用效果.

方法:2013年12月至2015年1月,采用INFIX手术内固定治疗12例骨盆环骨折患者,其中男9例,女3例;年龄26~65岁,平均38岁;病程均在2周内.按照Young-Burgess分型,其中LC型5例,VS型3例,APC型4例.术前患者髋部疼痛,活动受限,摄片示骨盆环断裂骨折移位.

结果:术后患者伤口愈合佳,无相关并发症.12例患者获随访,时间3~13个月,平均6个月.术后患者髋部疼痛缓解,X线片示骨盆复位满意,骨盆环形态恢复良好.按照Matta标准对骨折复位进行评估,优10例,良2例.

结论:INFIX内固定治疗骨盆骨折疗效满意,具有操作简便,损伤小并发症少的特点.
【关键词】骨盆  骨折  骨折固定术,内  外科手术
 
Application of supra-acetabular spinal pedicle screws and a subcutaneous connecting rod (INFIX) of anterior inferior iliac spine in the treatment of pelvic fractures
ABSTRACT  

Objective:To evaluate the clinical application effect of supra-acetabular spinal pedicle screws and a subcutaneous connecting rod (INFIX) for the treatment of pelvic fractures.

Methods:From December 2013 to January 2015,12 patients(9 males and 3 females) with unstable pelvic fracture were treated with INFIX. The average age was 38 years old (ranged from 26 to 65 years old). All patients were treated within 2 weeks. According to Young-Burgess classification,5 patients were lateral compression injuries,3 patients were vertical shearing injuries,4 patients were anterior-posterior compression injuries. The patients had hip pain and limitation of motion,the X-rays showed the pelvic ring fracture.

Results:All wounds were healed well without complications. Twelve cases were followed up with the mean period of 6 months (ranged from 3 to 13 months). The patients' hip pain was relieved after operation. The post operation X-rays showed the reduction was good and the pelvic ring shaped well. According to Matta's standards for fracture reduction,10 cases were excellent,2 were good.

Conclusion:For treating pelvic fractures,the INFIX is a convenient method which has many advantages including sound fixation simple operation,minimal invasive,and lower rate of complications.
KEY WORDS  Pelvis  Fractures  Fracture fixation,internal  Surgical procedures,operative
 
引用本文,请按以下格式著录参考文献:
中文格式:祖罡,毕大卫,曹奇勇,胡钢锋,马海涛,陈亿民,王辉,朱元.髂前下棘椎弓根钉棒内固定技术在骨盆骨折中的应用[J].中国骨伤,2016,29(4):369~372
英文格式:ZU Gang,BI Da-wei,CAO Qi-yong,HU Gang-feng,MA Hai-tao,CHEN Yi-min,WANG Hui,ZHU Yuan.Application of supra-acetabular spinal pedicle screws and a subcutaneous connecting rod (INFIX) of anterior inferior iliac spine in the treatment of pelvic fractures[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(4):369~372
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