骶髂螺钉治疗骨盆后环骨折及辅助置钉技术的研究进展-中华老年骨科与康复电子杂志

文章信息/Info

Title:: Research on novel sacroiliac screw in the treatment of posterior pelvic ring fracture and auxiliary placement techniques

作者:: 孟士超1; 吴斗2; 赵恩哲2; 郜振武2; 刘强2; 030001 太原，山西医科大学第三临床医院1；030032 太原，山西白求恩医院骨科2

Author(s):: Meng Shichao1; Wu Dou2; Zhao Enzhe2; Gao Zhenwu2; Liu Qiang2.; 1Third Clinical Hospital of Shanxi Medical University, Taiyuan 030001, China; 2Department of Orthopaedics, Shanxi Bethune Hospital, Taiyuan 030032, China

Keywords:: Sacroiliac screw; Pelvis; Fractures; Orthopedic robot; 3D printing technology

摘要:: 骨盆后环骨折，即Tile B和Tile C型骨盆骨折，对于不稳定骨盆骨折，需手术治疗。微创骶髂螺钉内固定作为一种有效治疗方法，以其感染风险低，术中失血少，侵入性小，术后可早期功能锻炼的特点，已广泛应用于临床当中。但骶髂螺钉内固定根据其生物力学特性，对其置钉数量、骶椎置钉节段及是否应用骶髂贯穿螺钉仍存在争议。同时多种辅助置钉技术已在骨科术中开展，提高了置钉安全性及精准性，也已在临床广泛应用.但不同辅助技术仍存在不足，笔者就骶髂螺钉治疗骨盆后环骨折及辅助置钉技术的研究进展综述如下。

Abstract:: Fractures of the posterior ring of the pelvis, as Tile B and Tile C pelvic fractures, need surgical treatment for unstable pelvic fractures. As an effective treatment, minimally invasive sacroiliac screw fixation has been widely used in clinic because of its low risk of infection, less blood loss, less invasion and early functional exercise after operation. However, according to the biomechanical characteristics of sacroiliac screw internal fixation, there is still controversy about the number of screws, the segment of sacroiliac screw placement and whether to use sacroiliac penetrating screw. At the same time, a variety of auxiliary nail placement techniques have been carried out in orthopedic surgery, which have improved the safety and accuracy of nail placement, and have been widely used in clinic, but different auxiliary techniques are still inadequate. The research progress of sacroiliac screw in the treatment of posterior pelvic ring fracture and auxiliary nail placement are summarized as follows.