Bozorgmanesh Mohammadreza, Latifi Reza, Hassannejad Nazanin
Department of Orthopedic Surgery, Arak University of Medical Sciences, Arak, Iran.
Student Research Committee, Arak University of Medical Sciences, Arak, Iran.
Arch Bone Jt Surg. 2023;11(10):658-661. doi: 10.22038/ABJS.2023.70015.3286.
An obese 57-year-old woman with known hypertension and diabetes mellitus sustained multiple injuries during an accident, which caused anterior-posterior fracture-dislocation of the pelvic ring. Due to the drawbacks of conventional stabilizing methods for anterior-posterior fracture-dislocations of the hip in this setting, such as the inability to visualize anatomical landmarks fluoroscopically for the iliosacral screw technique and the compromised L5 pedicle preventing lumbopelvic fixation, the patient underwent an innovative Hula Hoop technique described here. Using the Hula Hoop technique, a technique that has rarely been studied in humans, we avoided an invasive open procedure, decreased anesthesia time, reduced the size and number of incisions, and minimized bleeding. After three months of routine physiotherapy and occupational therapy, the patient was able to walk with a walker and an ankle-foot orthosis.
一名57岁的肥胖女性，患有高血压和糖尿病，在一次事故中多处受伤，导致骨盆环前后骨折脱位。由于在这种情况下，传统的髋部前后骨折脱位稳定方法存在一些缺点，比如在透视下无法看清用于髂骶螺钉技术的解剖标志，以及L5椎弓根受损无法进行腰骶骨盆固定，该患者接受了本文所述的创新型呼啦圈技术。使用呼啦圈技术（一种在人体中很少被研究的技术），我们避免了侵入性开放手术，减少了麻醉时间，减小了切口尺寸并减少了切口数量，同时将出血降至最低。经过三个月的常规物理治疗和职业治疗，患者能够借助助行器和踝足矫形器行走。
