Romanelli Filippo, Boe Eric, Sun Li, Keller David M, Yoon Richard S, Liporace Frank A
Division of Orthopaedic Trauma & Adult Reconstruction, Department of Orthopaedic Surgery, Jersey City Medical Center - RWJBarnabas Health, Jersey City, NJ, USA.
Hip Pelvis. 2020 Dec;32(4):214-222. doi: 10.5371/hp.2020.32.4.214. Epub 2020 Dec 3.
Displaced pelvic ring injuries can be challenging to even the experienced orthopedic traumatologist. A temporary external fixation to table construct provides a quick, simple, and accessible means of external skeletal fixation to reliably obtain and maintain stable hemipelvis reduction on the operating room table. The contralateral hemipelvis can be stabilized to the table by use of Steinman pins safely inserted into the subtrochanteric and anterior column regions and later connected to external fixator bars attached to the table. With rigid stabilization, the displaced contralateral pelvic fragment(s) can be reduced in a more vector intentional manner with greater force than the traditional means of pelvic reduction can allow. The skeletal-table fixation technique is presented along with two cases, a combined pelvic-acetabular injury and an isolated pelvic ring injury.
即使对于经验丰富的骨创伤外科医生来说，移位性骨盆环损伤的治疗也颇具挑战性。一种临时的外固定架-手术台组合装置提供了一种快速、简单且可行的外骨骼固定方法，能够在手术台上可靠地实现并维持半骨盆的稳定复位。通过安全地将斯氏针插入转子下区域和前柱区域，然后将其连接到附着在手术台上的外固定杆，对侧半骨盆可被固定于手术台上。通过刚性固定，与传统的骨盆复位方法相比，移位的对侧骨盆骨折块能够以更具方向性的方式、更大的力量进行复位。本文介绍了这种骨骼-手术台固定技术，并列举了两例病例，一例为合并骨盆-髋臼损伤，另一例为单纯骨盆环损伤。
