Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, University of Cincinnati, Cincinnati, OH, USA.
J Orthop Trauma. 2012 Oct;26(10):e193-7. doi: 10.1097/BOT.0b013e318239217f.
The traditional exposure of high posterior column or transverse acetabular fractures can pose a challenge for lag screw stabilization. The authors describe an adjunctive percutaneous transgluteal lag screw technique for the internal fixation of the high posterior column. In the senior author's experience, this technique has been helpful to achieve the optimal trajectory for a stable perpendicular lag screw to maintain an anatomical reduction. In our experience, this technique has been used in conjunction with the standard Kocher-Langenbeck exposure and posterior column plating techniques.
传统的后路高柱或横行髋臼骨折的显露对于拉力螺钉固定来说是一个挑战。作者描述了一种辅助性的经皮臀肌下入路拉力螺钉技术，用于固定后柱的高位骨折。在资深作者的经验中，这种技术有助于实现稳定的垂直拉力螺钉的最佳轨迹，以维持解剖复位。根据我们的经验，这种技术与标准的 Kocher-Langenbeck 入路和后柱钢板技术联合使用。
