*Department of Trauma Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; †Department of Orthopaedic Surgery, Denver Health, Denver, CO; ‡Department of Orthopaedic Surgery, University of Colorado, Denver, CO.
J Orthop Trauma. 2014 Jan;28(1):48-56. doi: 10.1097/BOT.0b013e318288c0c3.
The surgical treatment of pelvic and acetabular fractures can be technically challenging. Various techniques are available for the reconstruction of pelvic and acetabular fractures. Less invasive percutaneous fracture stabilization techniques, with closed reduction or limited open reduction, have been developed and are gaining popularity in the management of pelvic and acetabular fractures. These techniques require knowledge and interpretation of various fluoroscopic images to ensure appropriate and safe screw placement. Given the anatomic complexity of the intrapelvic structures and the 2-dimensional nature of standard fluoroscopy, multiple images oriented in different planes are needed to assess the accuracy of guide wire and screw placement. This article reviews the fluoroscopic imaging of common screw orientations during pelvic and acetabular surgery.
骨盆和髋臼骨折的手术治疗具有一定的技术挑战性。目前有多种技术可用于重建骨盆和髋臼骨折。微创经皮骨折固定技术，包括闭合复位或有限切开复位，已得到发展，并在骨盆和髋臼骨折的治疗中越来越受欢迎。这些技术需要了解和解读各种透视图像，以确保螺钉的正确和安全放置。鉴于盆腔内结构的解剖复杂性和标准透视的二维性质，需要多个不同平面的图像来评估导丝和螺钉放置的准确性。本文回顾了骨盆和髋臼手术中常见螺钉方向的透视成像。
