Frank Martin, Dedek Tomas
Department of Surgery, University Hospital Hradec Kralove, Czech Republic.
Acta Orthop Belg. 2012 Aug;78(4):519-22.
Percutaneous iliosacral screw placement is a standard stabilisation technique for pelvic fractures. It is a demanding operative technique. Various methods of guidance are currently available. We present a quick and simple fluoroscopy-guided technique using a radiolucent drive designed for distal locking of intramedullary nails. From January 2008 to December 2009, 27 screws were inserted using this technique in 21 patients with a pelvic fracture. The rate of incorrect placement was 11%. This technique does not require highly specialised equipment and is precise in determining both the entry point and drill track.
经皮骶髂螺钉置入是骨盆骨折的一种标准固定技术。它是一项要求较高的手术技术。目前有多种引导方法。我们介绍一种使用专为髓内钉远端锁定设计的射线可透过驱动器的快速简单的透视引导技术。2008年1月至2009年12月，使用该技术为21例骨盆骨折患者置入了27枚螺钉。误置率为11%。该技术不需要高度专业化的设备，在确定进针点和钻孔轨迹方面都很精确。
