三维直视复位在下胫腓联合分离患者中的运用
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摘要
目的探索术中三维直视精准复位下胫腓联合关键技术研究。方法选取2018年7月～2019年2月我院收治的下胫腓联合分离患者20例,参照下胫腓联合处解剖标志点进行术中三维直视解剖复位下胫腓联合并螺钉固定,术后CT检查下胫腓联合复位效果。结果通过直视解剖标志点复位下胫腓联合,20例患者术后CT检查均获得下胫腓联合准确复位。结论通过术中直视复位下胫腓联合处的解剖标志点及术后踝关节CT证实下胫腓联合可通过三维直视解剖标志点得到简单有效的精准复位。
Objective To explore the key techniques of intraoperative three-dimensional direct vision accurate reduction.Methods 20 patients with lower jaw combined with separation were enrolled in our hospital from July 2018 to February 2019.Three-dimensional direct anatomical reduction and iliac crest combined with screw fixation were performed with reference to the anatomical landmark of the lower jaw joint.After CT examination,the combined reduction effect of sputum.Results The sacral joint was restored by direct anatomical landmarks.The postoperative CT examinations of20 patients were combined with accurate reduction of the lower jaw.Conclusion The anatomical landmarks of the iliac crest joint and the posterior ankle joint CT confirmed by intraoperative direct reduction can be used to obtain a simple and effective accurate reduction through three-dimensional direct anatomical landmarks.
Objective To explore the key techniques of intraoperative three-dimensional direct vision accurate reduction.Methods 20 patients with lower jaw combined with separation were enrolled in our hospital from July 2018 to February 2019.Three-dimensional direct anatomical reduction and iliac crest combined with screw fixation were performed with reference to the anatomical landmark of the lower jaw joint.After CT examination,the combined reduction effect of sputum.Results The sacral joint was restored by direct anatomical landmarks.The postoperative CT examinations of20 patients were combined with accurate reduction of the lower jaw.Conclusion The anatomical landmarks of the iliac crest joint and the posterior ankle joint CT confirmed by intraoperative direct reduction can be used to obtain a simple and effective accurate reduction through three-dimensional direct anatomical landmarks.
引文
[1]余斌峰,王伟良,林锡鹏.皮质螺钉治疗下胫腓联合分离伴踝关节骨折[J].中国骨伤,2015,28(7):663-665.
[2]Schon JM,Williams BT,Venderley MB,et al.A 3D CT analysis of screw and suture-button fixation of the syndesmosis[J].Foot Ankle Int,2017,38(2):208-214.
[3]袁建迪,陈烽,范春芳.下胫腓联合螺钉固定治疗Maisonneuve骨折[J].临床骨科杂志,2018,21(5):581-582.
[4]周维元.踩关节骨折合并下胫腓联合韧带损伤的临床治疗分析[J].临床医药文献电子杂志,2018,5(85):94+102.
[5]Melvin JS,Downing KL,Ogilvie CM.A technique for removal of broken cannulated tricortical syndesmotic screws[J].J Orthop Trauma,2008,22(9):648-651.
[6]陈大伟,李春光,李兵,等.下胫腓联合相对运动生物力学研究[J].国际骨科学杂志,2015,36(1):57-61.
[7]曾嘉敏,孙炬慧,罗嘉俊,等.下胫腓联合参数的数字化测量研究[J].中国骨与关节损伤杂志,2014,29(2):155-157.
[8]Song DJ,Lanzi JT,Groth AT,et al.The effect of syndesmosis screw removal on the reduction of the distal tibiofibular joint:a prospective radiographic study[J].Foot Ankle Int,2014,35(6):543-548.
[2]Schon JM,Williams BT,Venderley MB,et al.A 3D CT analysis of screw and suture-button fixation of the syndesmosis[J].Foot Ankle Int,2017,38(2):208-214.
[3]袁建迪,陈烽,范春芳.下胫腓联合螺钉固定治疗Maisonneuve骨折[J].临床骨科杂志,2018,21(5):581-582.
[4]周维元.踩关节骨折合并下胫腓联合韧带损伤的临床治疗分析[J].临床医药文献电子杂志,2018,5(85):94+102.
[5]Melvin JS,Downing KL,Ogilvie CM.A technique for removal of broken cannulated tricortical syndesmotic screws[J].J Orthop Trauma,2008,22(9):648-651.
[6]陈大伟,李春光,李兵,等.下胫腓联合相对运动生物力学研究[J].国际骨科学杂志,2015,36(1):57-61.
[7]曾嘉敏,孙炬慧,罗嘉俊,等.下胫腓联合参数的数字化测量研究[J].中国骨与关节损伤杂志,2014,29(2):155-157.
[8]Song DJ,Lanzi JT,Groth AT,et al.The effect of syndesmosis screw removal on the reduction of the distal tibiofibular joint:a prospective radiographic study[J].Foot Ankle Int,2014,35(6):543-548.