骨盆-髋臼骨折X线透视导航下闭合复位与经皮固定

目的初探用X线透视导航辅助骨盆-髋臼骨折复位与固定手术。方法在获得骨折X线片和CT扫描的基础上进行图像重建。根据外科适应证,借助透视系统进行相应的骨折牵引闭合复位。若复位满意,便可和患者详细讨论手术计划。结果所有骶髂关节骨折脱位患者在应用这一技术进行固定时都未出现并发症。除少数患者外,术后CT扫描都显示螺钉固定位置满意。结论目前的手术适应证仍局限于闭合条件下进行的骨折复位。

Close-reduction and percutaneous fixation of pelvi-acetabular fractures with fluoro-navigation

Objective To explore the application of fluoro-navigation in close reduction and fixation of pelvi-acetabular fractures. Methods After imaging reconstruction from plan X-rays and CT tomographs, close reduction and fixation of pelvi-acetabular fractures were conducted under fluoro-navigation based on the indications. If the reduction was found satisfactory, surgical planning was discussed together with the patients. Results No complications occurred among patients with pelvi-acetabular dislocation. Apart from few cases postoperative CT scan showed satisfactory crew fixation. Conclusion The current experiences suggest that the fluoro-navigation is indicated for fixation of pelvi-acetabular fractures with close reduction.