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骨盆和髋臼手术中髋臼上通道植入物置入技术的优化

Optimization of technique for insertion of implants at the supra-acetabular corridor in pelvis and acetabular surgery.

作者信息

Tosounidis Theodoros H, Mauffrey Cyril, Giannoudis Peter V

机构信息

Academic Department of Trauma & Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, Leeds, LS1 3EX, UK.

NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, West Yorkshire, Leeds, LS7 4SA, UK.

出版信息

Eur J Orthop Surg Traumatol. 2018 Jan;28(1):29-35. doi: 10.1007/s00590-017-2007-8. Epub 2017 Jun 28.

DOI:10.1007/s00590-017-2007-8
PMID:28660437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5754460/
Abstract

The technique for application of implants at the sciatic buttress has been well described in the pelvic and acetabular fracture reconstruction literature. We described a new use of the inlet-obturator oblique view for the identification of the anterior inferior iliac spine, which is the entry point of implants, and we provide a detailed fluoroscopic and radiographic description of this view. A small series of 15 patients who underwent an application of an anterior inferior pelvic external (supra-acetabular) fixator via this technique is presented. We consider the use of the obturator oblique for the identification of the entry point unnecessary, and we advocate for the use of only the inlet-obturator oblique and iliac oblique views when implants are applied to the sciatic buttress.

摘要

坐骨支植入物的应用技术在骨盆和髋臼骨折重建文献中已有详细描述。我们描述了入口-闭孔斜位片在识别髂前下棘(植入物的进针点)方面的新用途,并提供了该视图的详细透视和放射学描述。本文介绍了一小系列(15例)通过该技术应用骨盆前外侧(髋臼上)外固定器的患者。我们认为使用闭孔斜位片来识别进针点没有必要,并且我们主张在将植入物应用于坐骨支时仅使用入口-闭孔斜位片和髂骨斜位片。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/804e9f576f78/590_2017_2007_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/93ded24bf931/590_2017_2007_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/95a8408924a4/590_2017_2007_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/12dbad02ac04/590_2017_2007_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/c48fd2c0e632/590_2017_2007_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/4e90a45ab874/590_2017_2007_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/f7cbb5d90e4d/590_2017_2007_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/a2f3dcff43c9/590_2017_2007_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/804e9f576f78/590_2017_2007_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/93ded24bf931/590_2017_2007_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/95a8408924a4/590_2017_2007_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/12dbad02ac04/590_2017_2007_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/c48fd2c0e632/590_2017_2007_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/4e90a45ab874/590_2017_2007_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/f7cbb5d90e4d/590_2017_2007_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/a2f3dcff43c9/590_2017_2007_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fb9/5754460/804e9f576f78/590_2017_2007_Fig8_HTML.jpg

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