• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

尽管翻修率较高，但经皮三角稳定术治疗骨盆3型和4型脆性骨折通常可实现骨折愈合。

Percutaneous triangular stabilization of type 3 and type 4 fragility fractures of the pelvis usually leads to fracture healing despite high revision rates.

作者信息

Spalteholz Matthias, Gulow Jens

机构信息

Department of Spine Surgery, Helios Park-Klinikum Leipzig, Germany.

出版信息

GMS Interdiscip Plast Reconstr Surg DGPW. 2020 Dec 16;9:Doc05. doi: 10.3205/iprs000149. eCollection 2020.

DOI:10.3205/iprs000149
PMID:33391966
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7745701/
Abstract

This is a monocentric, retrospective study to analyze radiological findings as well as perioperative and postoperative complications in patients who underwent percutaneous triangular stabilization of type 3 and type 4 fragility fractures of the pelvis. From August 2017 to December 2018, 20 patients were treated surgically. Thirteen patients (65%) were followed-up and received a CT scan of the pelvis after an average time of 14.8 months. A total of 5 patients (38%) had to undergo revision surgery, 2 patients (15%) immediately, 3 patients (23%) in the interval. In 84.6% no fracture line was visible in the sacrum. Fracture healing of the anterior pelvic ring was observed in all cases. Our results show that percutaneous triangular stabilization of type 3 and type 4 fragility fractures of the pelvis usually leads to fracture healing. Radiological signs of loosening were observed in 62%, an implant removal due to symptomatic loosening was necessary in 23%.

摘要

这是一项单中心回顾性研究，旨在分析接受骨盆3型和4型脆性骨折经皮三角稳定术患者的影像学表现以及围手术期和术后并发症。2017年8月至2018年12月，对20例患者进行了手术治疗。13例患者（65%）接受了随访，平均在14.8个月后接受了骨盆CT扫描。共有5例患者（38%）不得不接受翻修手术，2例患者（15%）立即进行，3例患者（23%）在间隔期进行。84.6%的患者骶骨未见骨折线。所有病例均观察到骨盆前环骨折愈合。我们的结果表明，骨盆3型和4型脆性骨折经皮三角稳定术通常可导致骨折愈合。62%的患者观察到松动的影像学征象，23%的患者因症状性松动需要取出植入物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/caa6fcf20fed/IPRS-09-05-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/9bda4bef5816/IPRS-09-05-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/924936e702d5/IPRS-09-05-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/6d8ccd64cabb/IPRS-09-05-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/9f9683eacfa3/IPRS-09-05-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/ecc7fc0e0a95/IPRS-09-05-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/cfe41db961d0/IPRS-09-05-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/caa6fcf20fed/IPRS-09-05-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/9bda4bef5816/IPRS-09-05-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/924936e702d5/IPRS-09-05-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/6d8ccd64cabb/IPRS-09-05-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/9f9683eacfa3/IPRS-09-05-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/ecc7fc0e0a95/IPRS-09-05-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/cfe41db961d0/IPRS-09-05-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b43/7745701/caa6fcf20fed/IPRS-09-05-g-007.jpg

相似文献

1
Percutaneous triangular stabilization of type 3 and type 4 fragility fractures of the pelvis usually leads to fracture healing despite high revision rates.尽管翻修率较高，但经皮三角稳定术治疗骨盆3型和4型脆性骨折通常可实现骨折愈合。
GMS Interdiscip Plast Reconstr Surg DGPW. 2020 Dec 16;9:Doc05. doi: 10.3205/iprs000149. eCollection 2020.
2
Minimal-invasive stabilization of anterior pelvic ring fractures with retrograde transpubic screws.经耻骨逆行置入螺钉微创固定前骨盆环骨折。
Injury. 2020 Feb;51(2):340-346. doi: 10.1016/j.injury.2019.12.018. Epub 2019 Dec 16.
3
The cement-augmented transiliacal internal fixator (caTIFI): an innovative surgical technique for stabilization of fragility fractures of the pelvis.骨水泥增强经髂骨内固定器（caTIFI）：一种用于稳定骨盆脆性骨折的创新手术技术。
Injury. 2015 Oct;46 Suppl 4:S114-20. doi: 10.1016/S0020-1383(15)30029-2.
4
Good functional outcome in patients suffering fragility fractures of the pelvis treated with percutaneous screw stabilisation: Assessment of complications and factors influencing failure.经皮螺钉固定治疗骨盆脆性骨折患者的良好功能预后：并发症评估及影响失败的因素
Injury. 2017 Dec;48(12):2717-2723. doi: 10.1016/j.injury.2017.11.002. Epub 2017 Nov 4.
5
[3D image enhancer-adjusted percutaneous triangular stabilization of geriatric pelvic ring fractures : Operation technique and indications].[3D图像增强器调整下老年骨盆环骨折的经皮三角稳定术：手术技术与适应证]
Unfallchirurg. 2019 Nov;122(11):880-884. doi: 10.1007/s00113-019-0606-z.
6
Percutaneous stabilization of U-shaped sacral fractures using iliosacral screws: technique and early results.使用髂骶螺钉经皮稳定U形骶骨骨折：技术与早期结果
J Orthop Trauma. 2001 May;15(4):238-46. doi: 10.1097/00005131-200105000-00002.
7
Mid-term outcome of bilateral fragility fractures of the sacrum after bisegmental transsacral stabilization versus spinopelvic fixation.双侧节段性经骶骨固定与脊柱骨盆固定治疗骶骨脆性骨折的中期疗效。
Bone Joint J. 2021 Mar;103-B(3):462-468. doi: 10.1302/0301-620X.103B3.BJJ-2020-1454.R1.
8
Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure?经皮骶髂螺钉固定垂直不稳定骨盆骨折：后方损伤模式能否预测固定失败？
J Orthop Trauma. 2003 Jul;17(6):399-405. doi: 10.1097/00005131-200307000-00001.
9
What constitutes a Young and Burgess lateral compression-I (OTA 61-B2) pelvic ring disruption? A description of computed tomography-based fracture anatomy and associated injuries.什么构成了Young和Burgess侧方压缩-I型（OTA 61-B2）骨盆环损伤？基于计算机断层扫描的骨折解剖结构及相关损伤的描述。
J Orthop Trauma. 2009 Jan;23(1):16-21. doi: 10.1097/BOT.0b013e31818f8a81.
10
Posterior locked lateral compression injury of the pelvis in geriatric patients: an infrequent and specific variant of the fragility fracture of pelvis.老年患者骨盆后位锁定性侧方压缩损伤：一种罕见且特殊的骨盆脆性骨折类型
Arch Orthop Trauma Surg. 2017 Sep;137(9):1207-1218. doi: 10.1007/s00402-017-2752-5. Epub 2017 Jul 13.

引用本文的文献

1
Treatment of Type IV Fragility Fractures of Pelvis With Robotic-Assisted Minimally Invasive Triangular Fixation.机器人辅助微创三角固定治疗骨盆IV型脆性骨折
Orthop Surg. 2025 Mar;17(3):848-857. doi: 10.1111/os.14338. Epub 2024 Dec 26.
2
Experimental study on the biomechanical stability of complex acetabular fractures in the quadrilateral area: application of a dynamic anterior titanium-plate screw system.四边形区域复杂髋臼骨折的生物力学稳定性的实验研究：一种动态前钛板螺钉系统的应用。
BMC Musculoskelet Disord. 2024 Jul 9;25(1):526. doi: 10.1186/s12891-024-07646-0.
3
Treatment of Unstable Sacral Fractures with Robotically-aided Minimally Invasive Triangular Fixation.

本文引用的文献

1
Progress of instability in fragility fractures of the pelvis: An observational study.骨盆脆性骨折不稳定性的研究进展：一项观察性研究。
Injury. 2019 Nov;50(11):1966-1973. doi: 10.1016/j.injury.2019.08.038. Epub 2019 Aug 27.
2
[3D image enhancer-adjusted percutaneous triangular stabilization of geriatric pelvic ring fractures : Operation technique and indications].[3D图像增强器调整下老年骨盆环骨折的经皮三角稳定术：手术技术与适应证]
Unfallchirurg. 2019 Nov;122(11):880-884. doi: 10.1007/s00113-019-0606-z.
3
Pelvic ring fractures in the elderly now and then - a pelvic registry study.
机器人辅助微创三角固定治疗不稳定骶骨骨折。
Orthop Surg. 2023 Dec;15(12):3182-3192. doi: 10.1111/os.13907. Epub 2023 Oct 24.
4
Clinical Guidelines for the Diagnosis and Treatment of Fragility Fractures of the Pelvis.骨盆脆性骨折的诊断与治疗临床指南。
Orthop Surg. 2023 Sep;15(9):2195-2212. doi: 10.1111/os.13755. Epub 2023 Jul 12.
5
'Within Ring' Concept Treatment for Displaced H-Shaped Type IVb Fragility Fractures of the Pelvis.“环内”概念治疗骨盆移位H型IVb型脆性骨折
Case Rep Orthop. 2021 Oct 15;2021:6864910. doi: 10.1155/2021/6864910. eCollection 2021.
老年骨盆环骨折的现状与回顾——一项骨盆登记研究
Arch Gerontol Geriatr. 2017 Jul;71:83-88. doi: 10.1016/j.archger.2017.03.007. Epub 2017 Mar 19.
4
Morphometry of the sacrum and its implication on trans-sacral corridors using a computed tomography data-based three-dimensional statistical model.基于计算机断层扫描数据的三维统计模型对骶骨的形态测量及其对经骶骨通道的影响
Spine J. 2017 Aug;17(8):1141-1147. doi: 10.1016/j.spinee.2017.03.023. Epub 2017 Mar 31.
5
Fragility Fractures of the Pelvis.骨盆脆性骨折
JBJS Rev. 2017 Mar 21;5(3). doi: 10.2106/JBJS.RVW.16.00057.
6
Excess Mortality After Pelvic Fractures Among Older People.老年人骨盆骨折后的超额死亡率。
J Bone Miner Res. 2017 Sep;32(9):1789-1801. doi: 10.1002/jbmr.3116. Epub 2017 May 8.
7
Risk factors for pelvic insufficiency fractures and outcome after conservative therapy.骨盆不全骨折的危险因素及保守治疗后的结果。
Arch Gerontol Geriatr. 2016 Nov-Dec;67:80-5. doi: 10.1016/j.archger.2016.06.020. Epub 2016 Jul 15.
8
Sacral Bone Mass Distribution Assessed by Averaged Three-Dimensional CT Models: Implications for Pathogenesis and Treatment of Fragility Fractures of the Sacrum.通过平均三维CT模型评估骶骨骨量分布：对骶骨脆性骨折发病机制和治疗的启示
J Bone Joint Surg Am. 2016 Apr 6;98(7):584-90. doi: 10.2106/JBJS.15.00726.
9
Reduced loosening rate and loss of correction following posterior stabilization with or without PMMA augmentation of pedicle screws in vertebral fractures in the elderly.在老年椎体骨折中，使用或不使用聚甲基丙烯酸甲酯（PMMA）增强椎弓根螺钉进行后路稳定后，松动率降低且矫正丢失减少。
Eur J Trauma Emerg Surg. 2013 Oct;39(5):455-60. doi: 10.1007/s00068-013-0310-6. Epub 2013 Jul 4.
10
The cement-augmented transiliacal internal fixator (caTIFI): an innovative surgical technique for stabilization of fragility fractures of the pelvis.骨水泥增强经髂骨内固定器（caTIFI）：一种用于稳定骨盆脆性骨折的创新手术技术。
Injury. 2015 Oct;46 Suppl 4:S114-20. doi: 10.1016/S0020-1383(15)30029-2.