Wright Raymond D, Glueck Dane A, Selby Jeffrey B, Rosenblum William J
Department of Orthopaedic Surgery, University of Kentucky, 740 S. Limestone Street K-401 Kentucky Clinic, Lexington, KY 40536-0284, USA.
J Orthop Trauma. 2006 Sep;20(8):576-9. doi: 10.1097/01.bot.0000211136.55177.46.
Posterior pelvic ring injuries with dissociation of the sacroiliac joint can be a therapeutic challenge. Open procedures for reduction have a significant risk for wound complications although inadequate reductions using percutaneous methods can have poor long-term outcomes. Several indirect reduction methods have been previously described for closed reduction of the sacroiliac joint. We present our technique for the intraoperative use of the pelvic c-clamp as a reduction aid for the posterior pelvis in conjunction with percutaneous iliosacral screw fixation. This technique has been used routinely in our patients who sustain injuries to the sacroiliac joint and are candidates for closed reduction and percutaneous fixation. Our objective is to provide orthopedic surgeons an additional means by which to reduce sacroiliac disruptions by percutaneous means.
伴有骶髂关节分离的骨盆后环损伤在治疗上颇具挑战。尽管经皮方法复位不充分会导致远期效果不佳，但切开复位手术存在显著的伤口并发症风险。此前已有多种间接复位方法用于骶髂关节的闭合复位。我们介绍一种术中使用骨盆C形夹辅助后骨盆复位并结合经皮骶髂螺钉固定的技术。这项技术已常规应用于我们收治的骶髂关节损伤且适合闭合复位和经皮固定的患者。我们的目的是为骨科医生提供一种通过经皮手段复位骶髂关节脱位的额外方法。
