Vioreanu Mihai H, Mulhall Kevin J
Mater Misericordiae Hospital, Dublin, Ireland.
Acta Orthop Belg. 2011 Jun;77(3):398-401.
Percutaneous internal fixation of pelvic fractures is becoming increasingly more popular among trauma surgeons worldwide due to reduced surgical related morbidity and facilitation of early mobilisation. Visualisation of the pelvic bony anatomy during percutaneous fixation is difficult, making the procedure technically demanding. We present a simple and easy intra-operative imaging technique that helps to confirm safe positioning of screws, particularly in the narrow anterior acetabular column, by use of radiopaque contrast medium to define the appropriately drilled track.
由于手术相关发病率降低且便于早期活动，骨盆骨折的经皮内固定在全球创伤外科医生中越来越受欢迎。经皮固定过程中骨盆骨解剖结构的可视化很困难，这使得该手术在技术上要求很高。我们提出一种简单易行的术中成像技术，通过使用不透射线的造影剂来确定适当的钻孔轨迹，有助于确认螺钉的安全位置，特别是在狭窄的髋臼前柱。
