Parker P J, Copeland C
R. Adams Cowley Shock Trauma Center, Baltimore, MD 21201, USA.
Injury. 1997 Nov-Dec;28(9-10):597-600. doi: 10.1016/s0020-1383(97)00097-1.
Over a 2-year period eight patients underwent percutaneous fluoroscopic fixation of their acetabular fractures. Average patient age was 43 and mean ISS was 27. Mean blood loss was less than 100 ml. There were five transverse fractures, one affecting both columns, one anterior column-posterior hemitransverse and one T-type fracture. There were two ipsilateral femoral and two ipsilateral tibial fractures. Mean follow-up was 15 months. Three broad patient groups were identified. One patient died, one was lost to follow-up, four had full range of motion of the affected hip, one had good range with Brooker II heterotopic ossification and one was wheelchair-bound with Brooker IV heterotopic ossification. The technique, which requires only cannulated screws and fluoroscopy, is described.
在两年时间里，8例患者接受了髋臼骨折的经皮透视下固定术。患者平均年龄为43岁，平均损伤严重度评分（ISS）为27分。平均失血量少于100毫升。有5例横行骨折，1例累及双柱，1例前柱-后半横行骨折，1例T型骨折。有2例同侧股骨骨折和2例同侧胫骨骨折。平均随访时间为15个月。确定了三大类患者群体。1例患者死亡，1例失访，4例患侧髋关节活动范围正常，1例活动范围良好但有布鲁克二级异位骨化，1例因布鲁克四级异位骨化需坐轮椅。本文描述了该仅需空心螺钉和透视的技术。
