摘要
骨盆髋臼骨折常由高能量损伤导致,多伴有血流动力学不稳定。三维导航下经皮置入螺钉具有精准化、失血少、快速康复和并发症少的优势,然而由于骨盆髋臼解剖的复杂性,三维导航置钉具有一定的挑战性。本文简述了三维导航技术的特点及其在骨盆髋臼骨折微创治疗中的应用与面临的问题,并展望了其未来的发展方向。
Pelvic and acetabular fractures are often caused by high-energy injuries,often accompanied by hemodynamic instability.Percutaneous screw placement under three-dimensional navigation has the advantages of precision,little blood loss,rapid recovery and few complications.However,due to the complexity of pelvic anatomy,screw placement under navigational guidance to treat pelvic and acetabular fractures is a kind of technological demanding task.This article reviews the characteristics of three-dimensional navigation technology and its application and problems in the minimally invasive treatment of pelvic and acetabular fractures,and prospects for its future development.
作者
蔡贤华
张宝成
郑益钒
Cai Xianhua;Zhang Baocheng;Zheng Yifan(Department of Orthopaedics,General Hospital of Central Theater Command,Wuhan 430070,China)
出处
《创伤外科杂志》
2021年第8期561-565,共5页
Journal of Traumatic Surgery
关键词
骨盆骨折
髋臼骨折
三维导航
微创
pelvic fractures
acetabular fractures
three dimensional navigation
minimally invasive
作者简介
蔡贤华,医学博士,教授,博士生导师,解放军中部战区总医院骨科主任医师,中华医学会骨科学分会外固定与肢体重建学组名誉组长,从事骨科临床与基础研究37年,擅长骨盆髋臼损伤的手术治疗与脂肪栓塞综合征等创伤并发症的救治,获省部级二等以上奖项10项;通讯作者:张宝成,Email:baocheng255@163.com。
