| 髋臼四边体损伤的治疗进展 |
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Received:October 27, 2023
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| 作者 | Author | 单位 | Unit | E-Mail |
| 肖靖炜 |
XIAO Jing-wei |
宁波大学医学部, 浙江 宁波 315211 |
Health Science Center, Ningbo University, Ningbo 315211, Zhejiang, China |
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| 李明 |
LI Ming |
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 |
Department of Orthopaedic Trauma, Ningbo No.6 Hospital Affiliated to Ningbo University Health Science Center, Ningbo 315040, Zhejinag, China |
David_abc123@163.com |
| 王滇 |
WANG Dian |
宁波大学医学部, 浙江 宁波 315211 |
Health Science Center, Ningbo University, Ningbo 315211, Zhejiang, China |
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| 郭晓东 |
GUO Xiao-dong |
华中科技大学同济医学院附属协和医院骨科, 湖北 武汉 430022 |
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China |
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| 侯志勇 |
HOU Zhi-yong |
河北医科大学第三医院创伤急救中心, 河北 石家庄 050051 |
Trauma Emergency Center, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China |
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| 期刊信息：《中国骨伤》2024年37卷，第3期，第319-326页 |
| DOI：10.12200/j.issn.1003-0034.20230822 |
| 基金项目:浙江省医药卫生科技计划项目(编号:2018PY059);宁波市重大科技攻关项目(编号:20211ZDYF020208) |
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| 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。 |
| [关键词]:髋臼 四边体 解剖学 手术入路 内固定 |
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| Progress on treatment of acetabular quadrilateral plate injury |
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| 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 displacement 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 volume and revision techniques are still a hot topic. In this paper,the viewpoints of three-dimensional network structure of acetabular 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. |
| KEYWORDS:Acetabulum Quadrilateral plate Anatomy Surgical approach Internal fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 肖靖炜,李明,王滇,郭晓东,侯志勇.髋臼四边体损伤的治疗进展[J].中国骨伤,2024,37(3):319~326 |
| 英文格式: | XIAO Jing-wei,LI Ming,WANG Dian,GUO Xiao-dong,HOU Zhi-yong.Progress on treatment of acetabular quadrilateral plate injury[J].zhongguo gu shang / China J Orthop Trauma ,2024,37(3):319~326 |
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