摘要
近10年来髋臼新型钢板、手术入路改良、3D打印等新技术,为治疗髋臼骨折提供了更丰富的选择,但仍存在骨折显露和固定难、手术切口大、术中出血多、手术创伤大等不足.髋臼周围被丰富的血管、神经、淋巴管网络、盆腔脏器、丰厚的肌肉及韧带结构包裹,即使骨科手术机器人操作,也可能造成血管、神经及盆腔脏器的医源性损伤.现就髋臼骨折手术入路结合髋臼周围解剖结构进行综述,旨在按照人体自然存在的解剖生理间隙,探索安全、快速的精准靶向通道手术入路技术.
Abstract
Over the past decade,new technologies such as novel acetabular plates,modified surgical approaches,and 3D printing have enriched the options for treating acetabular fractures.However,challenges persist,including difficulties in fracture exposure and fixation,large surgical incisions,increased intraoperative bleeding,and substantial surgical trauma.As acetabulum is surrounded by a network of blood vessels,nerves and lymph vessels,pelvic organs,and abundant muscles and ligaments,iatrogenic injury can easily occur to the surroundings,even with the use of orthopedic surgical robots in acetabular fracture operation.This article reviews the surgical approach for acetabular fractures,taking into account the adjacent anatomical structures,and aims to explore a safe,fast and precise surgical targeted approach by aligning with the anatomical and physiological spaces within the human body.
基金项目
浙江省医药卫生科技计划项目(2018PY059)
宁波市重大科技攻关项目(20211ZDYF020208)
国家科技期刊平台
NSTL
万方数据