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相關文獻
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頁籤選單縮合
題名 | Anterior Internal Fixation of the Disrupted Sacroiliac Joint--a Preliminary Report=經由關節前作手術復位和內固定治療骶髂關節脫位 |
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作者姓名(中文) | 陳力輝; 施俊雄; 許文蔚; 陳文哲; 吳基銓; 蘇君毅; 方朝銘; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 26:3 民82.05-06 |
頁次 | 頁1796-1804 |
分類號 | 416.61 |
關鍵詞 | 手術; 固定; 復位; 關節; 關節脫位; 骶髂; Sacroiliac joint; Open reduction and internal fixation; Specially designed plate(H-plate); |
語文 | 英文(English) |
中文摘要 | 骨盆骨折經由骶髂關節(Sacroiliac Joint)脫位,常造成下背疼痛和永久神經損傷,也常因此關節的癒合不正或骨盆傾斜導致不平衡步態,骨外固定術在骨盆骨折有其重要的角色。但在不穩定型的骨盆骨折,譬如合併骶髂關節脫位時就必須更積極的內固定術,才能解決上述的併發症,長庚紀念醫院骨科自去年三月至七月間,共經歷了七例經由關節前作手術復位和內固定術,分別是二塊短鋼板固定二例:U字型骨釘(Staples)固定,二例;和自己特殊設計的四孔鋼板固定,三例。除了第一例短鋼板固定有再脫位外,皆得到良好的結果,此手術方法較不易流血,傷口感染機率低,神經損傷機會小,也提供了直接探索此關節能予較好的復位和予以內固定,甚至作必要的骨移植術,以達成骨關節融合的目的。早期使用U型骨釘和二塊短鋼板固定穩定性稍嫌不足,我們自己設計的四孔鋼板長3公分,寬2.5公分,在長3公分週邊之中各有一小切口,以利固定前適當彎曲,並固定於復位後的關節面,我們深覺此種鋼板內固定穩定性雖佳,唯進一步的改良如蝴蝶型鎖定式鋼板對於增加穩定性應可更加強其效果,仍須待設計製造和動力學探討。本篇病例數目雖少,參考相關文獻資料討論,特別提出短期的臨床經驗報告。 |
英文摘要 | Pelvic fractures with disruption of the important weight-bearing sacroiliac area can lead to impaired gait from malunion or pelvic obliquity, back or buttocks pain arising from the disrupted sacroiliac joint and permanent neurologic damage. Since March 1991, open reduction and internal fixation via an anterior retrofascial approach has been performed for seven patients who had sustained pelvic fracture with disruption through the sacroiliac joint. Satisfactory results were achieved without major complication. This approach is relatively bloodless, and provides excellent access to the anterior aspect of sacroiliac joint. Staples, plates or specially designed implant (H-plate) were used to stabilize this joint. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。