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前环骨折合并耻骨联合分离的微创手术

Minimally invasive surgery (MIS) of anterior ring fracture combined with pubic symphysis separation.

作者信息

Liu Zhendong, Wang Kuixiang, Zhang Kexiang, Zhou Jiahui, Zhang Yuanjun

机构信息

Department of Orthopaedics and Traumatology, Third Xiangya hospital of Central South University, Changsha, China (mainland).

出版信息

Med Sci Monit. 2014 Oct 13;20:1913-7. doi: 10.12659/MSM.892358.

DOI:10.12659/MSM.892358
PMID:25308286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4207289/
Abstract

BACKGROUND

The aim of this study was to evaluate the reliability of open reduction and minimally invasive plate osteosynthesis (MIPO) for anterior ring fracture combined with pubic symphysis separation and to explore the operative techniques and therapeutic efficacy.

MATERIAL AND METHODS

We used minimally invasive plate osteosynthesis (MIPO) to treat anterior ring fracture combined with pubic symphysis separation.

RESULTS

During postoperative follow-up, all patients recovered well, with no fat liquefaction, infection, femoral nerve or iliac blood vessels injury, deep vein thrombosis, heterotopic ossification, or any and other complications.

CONCLUSIONS

The MIS or MIPPO for anterior ring fracture combined with pubic symphysis separation has the advantages of short operation time and less blood loss. This clinical operation is safe and feasible, with therapeutic efficacy.

摘要

背景

本研究旨在评估切开复位与微创钢板接骨术(MIPO)治疗前环骨折合并耻骨联合分离的可靠性,并探讨手术技术及治疗效果。

材料与方法

我们采用微创钢板接骨术(MIPO)治疗前环骨折合并耻骨联合分离。

结果

术后随访期间,所有患者恢复良好,无脂肪液化、感染、股神经或髂血管损伤、深静脉血栓形成、异位骨化或其他任何并发症。

结论

微创或微创经皮钢板接骨术治疗前环骨折合并耻骨联合分离具有手术时间短、失血少的优点。该临床手术安全可行,具有治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e01/4207289/4ef325c174c5/medscimonit-20-1913-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e01/4207289/4ef325c174c5/medscimonit-20-1913-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e01/4207289/4ef325c174c5/medscimonit-20-1913-g001.jpg

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本文引用的文献

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Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures.前路皮下内固定治疗不稳定骨盆骨折。
BMC Res Notes. 2014 Mar 8;7:133. doi: 10.1186/1756-0500-7-133.
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Fractures of the pelvic ring.骨盆环骨折。
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Treatment outcomes of open pelvic fractures associated with extensive perineal injuries.开放性骨盆骨折合并广泛会阴损伤的治疗效果。
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Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment of proximal humerus fractures.微创外侧入路相对于传统三角肌胸大肌间沟入路治疗肱骨近端骨折的优势。
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Minimally invasive treatment for pubic ramus fractures combined with a sacroiliac joint complex injury.耻骨支骨折合并骶髂关节复合体损伤的微创治疗。
Int Orthop. 2013 Aug;37(8):1547-54. doi: 10.1007/s00264-013-1954-x. Epub 2013 Jun 12.
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Table-mounted ring retractor for consistent visualization in endoscopy-assisted anterior reconstruction of burst fractures of the thoracolumbar junction.用于胸腰段交界处爆裂骨折内镜辅助前路重建中实现一致可视化的台式环形牵开器。
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The impact of a standardized "spine damage-control" protocol for unstable thoracic and lumbar spine fractures in severely injured patients: a prospective cohort study.不稳定型胸腰椎骨折患者实施标准化“脊柱损伤控制性”方案的效果:一项前瞻性队列研究。
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Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: a comparative study.经皮重建钢板与经皮骶髂螺钉治疗不稳定型骨盆后环骨折的对比研究
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