Department of Traumatology and Orthopaedic Surgery, General University Hospital "Gregorio Marañón", Spain; Department of Surgery, Complutense University of Madrid, Spain.
Department of Traumatology and Orthopaedic Surgery, General University Hospital "Gregorio Marañón", Spain; Department of Surgery, Complutense University of Madrid, Spain.
Injury. 2019 Jun;50 Suppl 1:S24-S29. doi: 10.1016/j.injury.2019.03.050. Epub 2019 Apr 4.
Between the different options in pelvic external fixation, the supra-acetabular pin placement is considered the best option by many authors. The aim of this study is to describe the surgical technique of the ultrasound-guided supra-acetabular pelvic external fixator (US-SA FIX).
Description of the steps to perform the US-SA FIX technique.
The supra-acetabular pin placement is considered the best option and it is the most wildly used because it combines three crucial qualities: safety, simplicity, and effectiveness. Notwithstanding, when a severely multiple injured patient arrives at the emergency room we need to perform an emergency external fixation, however trained x-ray technicians or pelvic surgeons are not always present, making it difficult to perform the surgery with the proper intra-operative imaging, increasing the surgical time with potentially serious repercussions, a case scenario where the ultrasound can be a very helpful tool. Ultrasound-guided supra-acetabular pelvic external fixator pin placement is feasible without compromising the reliability of its placement, and the application of this new technique in clinical practice in our centre brings encouraging results.
在骨盆外固定的不同选择中，许多作者认为髋臼上置钉是最佳选择。本研究旨在描述超声引导下髋臼上骨盆外固定器（US-SA FIX）的手术技术。
描述执行 US-SA FIX 技术的步骤。
髋臼上置钉被认为是最佳选择，也是最广泛使用的方法，因为它结合了三个关键的优点：安全性、简单性和有效性。然而，当严重多发伤患者到达急诊室时，我们需要进行紧急外固定，但并非总是有受过训练的 X 光技师或骨盆外科医生在场，这使得难以在适当的术中成像下进行手术，增加了手术时间，并可能带来严重的后果，在这种情况下，超声可以成为非常有用的工具。在不影响其放置可靠性的情况下，超声引导髋臼上骨盆外固定器置钉是可行的，并且该新技术在我们中心的临床实践中的应用带来了令人鼓舞的结果。
