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骨盆前部经皮髓内螺钉固定的术前规划技术

Preoperative planning technique for anterior pelvis percutaneous intramedullary screw fixation.

作者信息

Wise Patrick M, Vander Voort Wyatt D, Priester Jacob, Saiz Augustine M

机构信息

Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, CA.

Department of Orthopaedic Surgery, 60th Surgical Operations Squadron, David Grant Medical Center, Travis AFB, CA.

出版信息

OTA Int. 2025 Mar 11;8(2):e386. doi: 10.1097/OI9.0000000000000386. eCollection 2025 Jun.

DOI:10.1097/OI9.0000000000000386
PMID:40070579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11896102/
Abstract

Useful techniques have been previously described for the planning of safe transsacral-transiliac screws, but to our knowledge, no straightforward technique has been described for anterior pelvic percutaneous fixation. As this method of anterior ring fixation has demonstrated biomechanical and clinical benefits, we propose a preoperative planning technique for determining the corridor characteristics of the patient's superior pubic ramus/anterior column for fracture fixation with percutaneous intramedullary screws. This technique helps the surgeon assess what diameter of solid or cannulated screw the corridor allows and predict the length of screw needed.

摘要

此前已有关于安全经骶骨-髂骨螺钉置入规划的有用技术描述，但据我们所知，尚未有针对骨盆前路经皮固定的直接技术被描述。由于这种前路环形固定方法已显示出生物力学和临床优势，我们提出一种术前规划技术，用于确定患者耻骨上支/前柱的通道特征，以便经皮髓内螺钉进行骨折固定。该技术有助于外科医生评估通道允许使用的实心或空心螺钉的直径，并预测所需螺钉的长度。

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本文引用的文献

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Investigation of pelvic symmetry: A systematic analysis using computer aided design software.骨盆对称性的研究：使用计算机辅助设计软件进行的系统分析。
Health Care Sci. 2022 Nov 8;2(1):36-44. doi: 10.1002/hcs2.25. eCollection 2023 Feb.
2
Navigation Template Design and the Anatomic Measurement for Anterograde Transpubic Screws.经皮耻骨前路螺钉置钉的导航模板设计与解剖学测量
Orthop Surg. 2022 Dec;14(12):3408-3416. doi: 10.1111/os.13510. Epub 2022 Oct 17.
3
A biomechanical comparison of superior ramus plating versus intramedullary screw fixation for unstable lateral compression pelvic ring injuries
不稳定侧方挤压型骨盆环损伤经前路钢板与髓内钉固定的生物力学比较
Injury. 2022 Dec;53(12):3899-3903. doi: 10.1016/j.injury.2022.09.027. Epub 2022 Sep 19.
4
The technique of using three-dimensional and multiplanar reformatted computed tomography for preoperative planning in pediatric craniovertebral anomalies.使用三维和多平面重组计算机断层扫描技术进行小儿颅颈畸形术前规划。
N Am Spine Soc J. 2021 Jul 14;7:100073. doi: 10.1016/j.xnsj.2021.100073. eCollection 2021 Sep.
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Asymmetry of the pelvic ring evaluated by CT-based 3D statistical modeling.基于 CT 的三维统计建模评估骨盆环的不对称性。
J Anat. 2021 May;238(5):1225-1232. doi: 10.1111/joa.13379. Epub 2020 Dec 31.
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Low Superior Pubic Ramus Screw Failure Rate With Combined Anterior and Posterior Pelvic Ring Fixation.前路联合后路骨盆环固定降低耻骨支螺钉失败率。
J Orthop Trauma. 2021 Apr 1;35(4):175-180. doi: 10.1097/BOT.0000000000001942.
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Computer navigation-assisted minimally invasive percutaneous screw placement for pelvic fractures.计算机导航辅助下微创经皮螺钉置入治疗骨盆骨折
World J Clin Cases. 2020 Jun 26;8(12):2464-2472. doi: 10.12998/wjcc.v8.i12.2464.
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Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss).使用光动力骨稳定系统（IlluminOss）对老年患者耻骨支骨折进行髓内稳定治疗
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Atlas-based automatic planning and 3D-2D fluoroscopic guidance in pelvic trauma surgery.基于图谱的自动规划和 3D-2D 透视引导在骨盆创伤手术中的应用。
Phys Med Biol. 2019 May 2;64(9):095022. doi: 10.1088/1361-6560/ab1456.
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Fixation of Anterior Pelvic Ring Injuries.骨盆前环损伤的固定。
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