| 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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Received:October 20, 2015
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| 作者 | Author | 单位 | Unit | E-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 |
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| 曹奇勇 |
CAO Qi-yong |
北京积水潭医院创伤骨科, 北京 100035 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 期刊信息：《中国骨伤》2016年29卷，第4期，第369-372页 |
| DOI：10.3969/j.issn.1003-0034.2016.04.017 |
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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 |
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| Application of supra-acetabular spinal pedicle screws and a subcutaneous connecting rod (INFIX) of anterior inferior iliac spine in the treatment of pelvic fractures |
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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. |
| KEYWORDS:Pelvis Fractures Fracture fixation,internal Surgical procedures,operative |
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| 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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