髋臼四边体损伤的治疗进展
Progress on treatment of acetabular quadrilateral plate injury
肖靖炜 1李明 2王滇 1郭晓东 3侯志勇4
作者信息
- 1. 宁波大学医学部,浙江 宁波 315211
- 2. 宁波大学医学部附属宁波市第六医院创伤骨科,浙江 宁波 315040
- 3. 华中科技大学同济医学院附属协和医院骨科,湖北 武汉 430022
- 4. 河北医科大学第三医院创伤急救中心,河北石家庄 050051
- 折叠
摘要
髋臼四边体损伤是近年创伤骨科领域和盆底功能研究的热点和焦点,尽管有5种骨折分型,但均以骨折形态为唯一依据,未考虑韧带、关节囊和肌肉的牵拉力量,完善的分型需三维空间立体化描述骨块移位,以更好地指导复位和固定.7种切开显露方法仍是传统的肉眼直视下手术,如何保护纵横交错的血管神经网络和盆腔器官仍是焦点.四边体缺损造成人工髋关节脱位,定量评估四边体缺损体积和翻修技术仍是热点.本文提出髋臼骨盆血管解剖学三维网络结构,解剖学手术靶点通道和髋臼骨折复位固定锚钉点的观点,为精准、微创手术操作设计新的技术,以期实现骨科快速康复的要求.
Abstract
Acetabular quadrilateral plate injury has become a hot spot and focus in the field of orthopaedic trauma and pelvic floor function in recent years.Although there are five fracture types,they are all based on fracture morphology,without considering the pulling force of ligaments,joint capsular and muscles.A perfect classification needs to describe the displace-ment of bone mass in three-dimensional space to better guide reduction and fixation.The seven incision and exposure methods are still the traditional open-eye surgery,and how to protect the criss-crossing vascular neural network and pelvic organs is still the focus.Quadrilateral defect causes dislocation of artificial hip joint,and quantitative evaluation of quadrilateral defect vol-ume and revision techniques are still a hot topic.In this paper,the viewpoints of three-dimensional network structure of acetab-ular pelvic vascular anatomy,anatomical surgical target channel and fixation anchor point of acetabular fracture reduction are proposed to design new techniques for accurate and minimally invasive surgical operations,in order to realize the requirements of rapid orthopedic rehabilitation.
关键词
髋臼/四边体/解剖学/手术入路/内固定Key words
Acetabulum/Quadrilateral plate/Anatomy/Surgical approach/Internal fixation引用本文复制引用
基金项目
浙江省医药卫生科技计划(2018PY059)
宁波市科技攻关计划重大项目(20211ZDYF020208)
出版年
2024
国家科技期刊平台
NSTL
万方数据