C形臂X线透视导航下微创经皮拉力螺钉治疗髋臼前柱骨折  

Treatment of anterior acetabular column fracture with minimally invasive percutaneous lag screws by C-arm X-ray fluoroscopy-based navigation

作　　者：司庆华[1] 丁珮 胡磊[3] 樊喻波[3] 张立海[1] 彭晔[1] 袁新成[1] 董天祥[1] 娄昕[1] 唐佩福[1] 

机构地区：[1]解放军总医院,北京100853 [2]总参军训部门诊部,北京100851 [3]北京航空航天大学,北京100191

出　　处：《解放军医学院学报》2013年第1期60-62,共3页Academic Journal of Chinese PLA Medical School

基　　金：全军"十二五"科研基金(CWS11J101);军队"十二五"重点项目(BWS11J113)~~

摘　　要：目的探讨C型臂X线机透视导航下使用微创经皮拉力螺钉内固定治疗髋臼前柱骨折的方法及疗效。方法对2009年3月-2011年9月,在我院创伤骨科住院的8例无移位或轻度移位的髋臼前柱骨折患者,应用C形臂X线透视导航,用微创经皮拉力螺钉治疗髋臼前柱骨折。按Nakatani分型:Ⅰ型4例,Ⅱ型3例,Ⅲ型1例。受伤致手术时间为2～7 d。结果 8例患者,男5例,女3例,年龄19～69岁,共置入10枚髋臼前柱经皮螺钉,其中2例为双侧髋臼前柱骨折,其余6例为单侧髋臼前柱骨折,各置入1枚螺钉。术后8例全部获得随访,随访时间10～26个月。8例全部骨性愈合,1例遗留轻度移位,无血管神经损伤等并发症。结论 C型臂X线机透视导航下使用微创经皮拉力螺钉内固定治疗髋臼前柱骨折可提高螺钉的精确度,有利于功能康复。Objective To study the treatment of anterior acetabular column fractures with minimally invasive percutaneous lag screws by C-arm X-ray fluoroscopy-based navigation. Methods Eight patients with no or mild shift of anterior acetabular column fractures were treated with minimally invasive percutaneous lag screw by C-arm X-ray fluoroscopy-based navigation in our department from March 2009 to September 2011. The fractures were classified as typeⅠ in 4 patients, type Ⅱ in 3 patients, and type Ⅲ in 1 patient according to Nakatani classification. The time from fracture to operation was 2~7 days. Results Of the 8 patients with 10 screws inserted, 5 were males and 3 were females aged 19~69 years, 2 were diagnosed with bilateral anterior acetabular column fracture and 6 with unilateral anterior acetabular column fracture with 1 screw inserted, respectively. The patients were followed up for 10~26 months, during which their fractures were healed with no complications such as vascular and nerve injury except for mild shift in 1 patient. Conclusion Internal fixation of anterior acetabular column fractures with minimally invasive percutaneous lag screws by C-arm X-ray fluoroscopy-based navigation can improve the accuracy of inserted screws, thus contributing to the function recovery in such patients.

关 键 词：髋臼前柱 髋臼骨折 微创 

分 类 号：R684[医药卫生—骨科学]