术中超声引导下使用髓内钉治疗股骨干骨折：技术说明
Intraoperative ultrasound-guided reduction of femoral shaft fractures using intramedullary nailing: a technical note.
作者信息
Zhe Zhao, Jianjin Zhu, Fei Song, Dawei He, Jiuzheng Deng, Fang Chen, Yongwei Pan
机构信息
Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168, Li Tang Road, Changping District, Beijing, 102218, China.
Department of Computer Science and Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China.
出版信息
Arch Orthop Trauma Surg. 2019 May;139(5):589-596. doi: 10.1007/s00402-018-3085-8. Epub 2018 Dec 3.
OBJECTIVES
Intramedullary (IM) nailing is the preferred method for treatment of femoral shaft fractures. However, for the surgical staff and the patients, exposure to large dose of X-rays is inevitable during the procedure. In this paper, a new technique based on ultrasound is proposed to guide the reduction of femoral fractures, reducing radiation exposure.
METHODS AND RESULTS
By means of particular continuous transverse and multiplanar longitudinal scanning, the deformity pattern information of the fracture could be efficiently acquired. Adequate reduction could be achieved under the real-time guidance of intraoperative ultrasound.
CONCLUSIONS
Intraoperative ultrasound can guide the reduction of femoral shaft fracture using IM nailing, and reduce the radiation exposure of medical staff and patients.
目的
髓内钉固定是股骨干骨折的首选治疗方法。然而，对于手术人员和患者而言，手术过程中不可避免地会暴露于大剂量X射线下。本文提出一种基于超声的新技术，用于指导股骨骨折复位，减少辐射暴露。
方法与结果
通过特殊的连续横向和多平面纵向扫描，可有效获取骨折的畸形模式信息。在术中超声的实时引导下可实现充分复位。
结论
术中超声可指导使用髓内钉固定的股骨干骨折复位，并减少医护人员和患者的辐射暴露。
Zotero 插件