7.3mm空心螺丝钉后路治疗骶髂关节脱位骨折损伤22例分析  

Analysis of 7.3 mm partial thread lag screws for posterior surgeries treating 22 cases with sacroiliac joint dislocation and fracture

作　　者：樊晓海[1] 甄平[1] 薛云[1] 周顺刚[1] 厉孟[1] 邓晓文[1] 李旭升[1] 

机构地区：[1]兰州军区兰州总医院全军骨科中心,730050

出　　处：《实用医学杂志》2013年第10期1634-1636,共3页The Journal of Practical Medicine

摘　　要：目的:通过对含有骶髂关节脱位骨折的22例的骨盆骨折患者进行了后路手术治疗分析,探讨应用7.3 mm空心螺丝钉特点。方法:对22例的骶髂关节脱位骨折患者进行后路手术治疗,分选择闭合或切开复位,在C臂X线机透视下攻入1～2枚直径7.3 mm的60～75 mm空心松质骨拉力螺丝钉。结果:术后随访6～36个月,术后2～4周患者可在床上坐起,6周后可扶拐下地活动,术后随访期间未发现内固定松动及螺钉钢板断裂。拍片检查对比提示:骶髂关节脱位及周围骨折术后位置无位移,根据Matte标准评定:本组优17例,良好4例,可1例,根据Majeed功能评分标准:优16例。良好3例,优良率86.3%。结论:经后入路手术治疗骶髂关节脱位骨折可有良好的治疗疗效,但需要对其的选择要根据损伤的解剖部位及类型、移位的方向程度、术前的复位程度,对术中复位的难易程度因素综合考虑来确定。Objective To analyze the results of using 7.3mm partial thread lag screws for posterior surgeries treating 22 cases with sacroiliac joint dislocation and fracture.Methods The posterior surgeries using 7.3mm partial thread lag screws were performed on 22 patients with sacroiliac joint dislocation and fracture.The patient was in prone position,closed or opened reduction was done,and 1-2 partial thread lag screws,7.3mm in diameter and 6075 mm in length,were penetrated via sacroiliac joint for fixation under X-ray.Results All 22 cases were available for review at a follow-up period of 6-36 months.Patients could sit up in 2-4 weeks after surgery,and walk with a crane 6 weeks later.No breakage or loosening of screw occurred during follow-up.In all cases,the reduction of sacroiliac joint was sustained very well.According to Matte＇s criteria,the curative effect in 17 patients was excellent,4 good and 1 moderate.To calculate the Majeed＇s functional index,16 patients was judged excellent and 3 was good.The excellent and good rate was 86.3%.Conclusions The posterior surgery was efficacious in managing sacroiliac joint dislocation and fracture,but should be selected depending on factors like anatomic location and type of fracture,the degree of displacement,the rate of preoperational reduction,the difficult in operation and the stability of internal fixation.

关 键 词：空心螺丝钉 后入路 骶髂关节 脱位与骨折 

分 类 号：R687.3[医药卫生—骨科学]