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find Author "付有伟" 2 results
  • 空心拉力螺钉微创治疗垂直不稳定型骨盆骨折

    目的 总结应用空心拉力螺钉微创治疗垂直不稳定型骨盆骨折的方法与疗效。 方法 2003 年1 月- 2009 年10 月,收治垂直不稳定型骨盆骨折患者16 例。男7 例,女9 例;年龄18 ~ 55 岁,平均32 岁。骨折按Tile分型:C1 型9 例,C2 型5 例,C3 型2 例。受伤至手术时间3 ~ 12 d,平均6 d。术前行股骨髁上骨牵引闭合复位后,于X 线透视下经皮空心拉力螺钉固定耻骨上支及骨盆后环骨折脱位。 结果 术后切口均Ⅰ期愈合。患者均获随访,随访时间1 ~ 3 年,平均20 个月。无脂肪栓塞、下肢深静脉血栓形成、血管神经损伤等并发症发生。术后3 d 内影像学检查示螺钉位置、骨折复位均良好。骨折均于术后3 ~ 6 个月愈合。术后1 年按Majeed 疗效评价标准评定,获优10 例,良6 例。 结 论 空心拉力螺钉微创治疗垂直不稳定型骨盆骨折具有手术创伤小、并发症少、固定牢靠、螺钉取出容易等优点。

    Release date:2016-08-31 05:42 Export PDF Favorites Scan
  • BIOMECHANICAL RESEARCH ON INTERNAL FIXATION METHODS OF POSTERIOR PELVIC RING FRACTURE DISLOCATION

    Objective To investigate the biomechanical differences of three internal fixation approaches, namely improved Galveston (IG), reconstruction plate (RP), and il iosacral screw (LS) to the posterior pelvic ring fracture dislocation and provide experimental evidence for the cl inical appl ication of proper internal fixation method. Methods Six donatedfresh adult cadaver pelvic specimens (age averaged 45 years old) were numbered randomly and their normal biomechanics were tested by the measure instrument (MTS855 Mini-Blonix). The displacement values of normal pelvis were measured under the vertical compression (800 N) and reverse direction compression (8 N·m). Then they were made into left Denis I pelvic fracture and fixed with the IG, RP, and LS, respectively, in different orders. Biomechanics test was conducted on the fixed pelvis from both the vertical and the reversed directions. Results Concerning the direction of vertical ity and torsion, the order of fracture displacement from small to large was the normal pelvis, LS, IG and RP. There was no significant difference between LS and the normal pelvis (P gt; 0.05), and the differences between other tow groups were significant (P lt; 0.05). Conclusion The LS fixation can provide better stabil ity for posterior pelvic ring fracture dislocation when compared with IG and RP.

    Release date:2016-09-01 09:08 Export PDF Favorites Scan
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