| 经皮逆行髋臼前柱螺钉的临床应用 |
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Received:April 19, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王辉 |
WANG Hui |
杭州市萧山区第一人民医院骨科,浙江 杭州 311200 |
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| 祖罡 |
ZU Gang |
杭州市萧山区第一人民医院骨科,浙江 杭州 311200 |
Department of Orthopaedics,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科,浙江 杭州 311200 |
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| 郑琦 |
ZHENG Qi |
杭州市红十字会医院骨科,浙江 杭州 310003 |
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| 陈亿民 |
CHEN Yi-ming |
杭州市萧山区第一人民医院骨科,浙江 杭州 311200 |
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| 魏威 |
WEI Wei |
杭州市红十字会医院骨科,浙江 杭州 310003 |
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| 韩雷 |
HAN Lei |
杭州市萧山区第一人民医院骨科,浙江 杭州 311200 |
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| 期刊信息：《中国骨伤》2012年25卷，第10期，第807-809页 |
| DOI：10.3969/j.issn.1003-0034.2012.10.005 |
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目的：探讨经皮逆行髋臼前柱螺钉内固定技术的临床应用.
方法：自2006年1月至2011年11月对伴有髋臼前柱骨折的27例患者进行了经皮逆行髋臼前柱螺钉固定治疗,其中男20例,女7例;年龄20～61岁,平均35岁.按髋臼骨折Tile 分型:A型5例,B型18例,C型4例.对术中出血量、骨折复位及螺钉位置进行观测.
结果：术后摄骨盆入口位及出口位X线片并行CT检查,所有骨折复位良好.骨折复位根据Matta标准:优10例,良15例,差2例.所有骨折愈合,术后未出现神经血管损伤及股骨头坏死等并发症.
结论：经皮逆行髋臼前柱螺钉技术具有术中出血少、创伤小、固定可靠等优点,可以有效应用于临床. |
| [关键词]:髋臼 骨折 骨折固定术,内 |
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| Clinical application of the percutaneous retrograde acetabular anterior horn screw fixation |
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Abstract:
Objective:To investigate the clinical usage of percutanious retrograde acetabular anterior horn screw fixation.
Methods:From June 2006 to November 2011,27 patients with anterior horn accetabular fractures were treated with percutaneousretrograde screw. There were 20 males and 7 females with an average age of 35 years(ranged,20 to 61). According to Tile classification,type A was in 5 cases,type B was in 18 cases and type C was in 4 cases. The intra-operative blood loss volume,fractured reduction and screw location were observed.
Results:Postoperative X-ray and CT scan showed good reduction. According to the standard of Matta,10 cases got excellent results,15 good and 2 poor. All fractures healed and no complications such as neurovascular injuries and femoral head necrosis were found.
Conclusion:Percutanious retrograde acetabular anterior horn screw technique have advantages of little trauma,less blood loss volume,reliable fixation,which can be effectively used in clinic. |
| KEYWORDS:Acetabulum Fractures Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王辉,祖罡,毕大卫,郑琦,陈亿民,魏威,韩雷.经皮逆行髋臼前柱螺钉的临床应用[J].中国骨伤,2012,25(10):807~809 |
| 英文格式: | WANG Hui,ZU Gang,BI Da-wei,ZHENG Qi,CHEN Yi-ming,WEI Wei,HAN Lei.Clinical application of the percutaneous retrograde acetabular anterior horn screw fixation[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(10):807~809 |
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