髂前下棘椎弓根钉棒内固定技术在骨盆骨折中的应用  

Application of supra-acetabular spinal pedicle screws and a subcutaneous connecting rod (INFIX) of anterior inferior iliac spine in the treatment of pelvic fractures

作　　者：祖罡[1] 毕大卫[1] 曹奇勇[2] 胡钢锋[1] 马海涛[1] 陈亿民[1] 王辉[1] 朱元[1] 

机构地区：[1]杭州市萧山区第一人民医院骨二科,浙江杭州311200 [2]北京积水潭医院创伤骨科,北京100035

出　　处：《中国骨伤》2016年第4期369-372,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的 ：探讨应用髂前下棘椎弓根钉棒内固定技术（supra acetabular spinal pedicle screws and a subcutaneous connecting rod,INFIX）在骨盆前环骨折治疗中的临床应用效果。方法 ：2013年12月至2015年1月,采用INFIX手术内固定治疗12例骨盆环骨折患者,其中男9例,女3例;年龄26-65岁,平均38岁;病程均在2周内。按照Young-Burgess分型,其中LC型5例,VS型3例,APC型4例。术前患者髋部疼痛,活动受限,摄片示骨盆环断裂骨折移位。结果：术后患者伤口愈合佳,无相关并发症。12例患者获随访,时间3-13个月,平均6个月。术后患者髋部疼痛缓解,X线片示骨盆复位满意,骨盆环形态恢复良好。按照Matta标准对骨折复位进行评估,优10例,良2例。结论：INFIX内固定治疗骨盆骨折疗效满意,具有操作简便,损伤小并发症少的特点。Objective：To evaluate the clinical application effect of supra-acetabular spinal pedicle screws and a subcutaneous connecting rod（INFIX） for the treatment of pelvic fractures.Methods：From December 2013 to January2015,12 patients（9 males and 3 females） with unstable pelvic fracture were treated with INFIX.The average age was 38 years old（ranged from 26 to 65 years old）.All patients were treated within 2 weeks.According to Young-Burgess classification,5patients were lateral compression injuries,3 patients were vertical shearing injuries,4 patients were anterior-posterior compression injuries.The patients had hip pain and limitation of motion,the X-rays showed the pelvic ring fracture.Results：All wounds were healed well without complications.Twelve cases were followed up with the mean period of 6 months（ranged from 3 to 13 months）.The patients＇ hip pain was relieved after operation.The post operation X-rays showed the reduction was good and the pelvic ring shaped well.According to Matta＇s standards for fracture reduction,10 cases were excellent,2 were good.Conclusion：For treating pelvic fractures,the INFIX is a convenient method which has many advantages including sound fixation simple operation,minimal invasive,and lower rate of complications.

关 键 词：骨盆 骨折 骨折固定术 内 外科手术 

分 类 号：R457.1[医药卫生—治疗学]