| 骶骨空心螺钉治疗骶髂关节骨折-脱位疗效分析 |
| |
| 引用本文： | 张友,蒋和平,冯世龙,谢鲤钟,李波,陈乙瑞.骶骨空心螺钉治疗骶髂关节骨折-脱位疗效分析[J].重庆医学,2009,38(12). |
| |
| 作者姓名： | 张友 蒋和平 冯世龙 谢鲤钟 李波 陈乙瑞 |
| |
| 作者单位： | 重庆三峡中心医院骨科,万州,404000 |
| |
| 摘 要： | 目的 探讨骶骨空心螺钉技术治疗骶髂关节骨折-脱位的效果.方法 2005～2008年收治骶髂关节骨折-脱位27例,其中18例在C-臂监视下行1～2枚6.5mm骶骨空心螺钉固定(2例为双侧);8例行2块标准AO 3.5mm前路重建钢板(4～5孔)固定;1例因复合伤及骶后方软组织大面积严重挫伤坏死行骨盆外支架稳定.结果 18例后路骶骨螺钉固定手术时间短,创伤小,出血少,但骨折不易复位,需术中C-臂监护,其中骶前血管损伤1例;8例前路钢板固定手术时间较长,创伤大,出血较多,但直视下容易复位.采用Pohlemann骨盆骨折评分:优13例,良9例,可4例.结论 骶髂关节骨折-脱位骶骨空心螺钉固定具有较大优势,两种内固定方式各有其优缺点,应根据具体情况选择.
|
| 关 键 词： | 骶髂关节 空心螺钉 重建钢板 并发症 |
Treatment effect of unstable iliosacral joint with cannulated screw placement |
| |
| ZHANG You,JIANG He-ping,FENG Shi-long,et al..Treatment effect of unstable iliosacral joint with cannulated screw placement[J].Chongqing Medical Journal,2009,38(12). |
| |
| Authors: | ZHANG You JIANG He-ping FENG Shi-long |
| |
| Institution: | ZHANG You,JIANG He-ping,FENG Shi-long,et al.(Department of Orthopaedics,Central Hospital of Three Gorges,Chongqing,404000,China) |
| |
| Abstract: | Objective To investigate the clinical outcomes of iliosacral screw fixation for unstable posterior pelvis ring injuries,and then compare iliosacral screw fixation with anteriorly applied reconstruction plate.Methods Twenty-seven patients with fracture-dislocation of iliosacral joint were included in this retrospective study.Of these enrolled patients with posterior pelvis ring injuries,18 cases were treated by using 1 or 2 iliosacral 6.5mm cannulated screws under C-arm fluoroscopic guidance(iliosacral screw... |
| |
| Keywords: | Iliosacral joint cannulated screw reconstruction plate complications |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
