下午课件17石家庄会议

1、Stoppa approachIn the application of pelvic and acetabular fractures in the initial experience Ningbo 6th Hospital Orthopaedic Yunqiang Zhuang传统的手术入路Z y qZ y qHistoryHirvensalo1 and Cole2 1993Indication Anterior column or anterior wall fractures Transverse fracture T-shaped fracture Double column fr

2、acture The latter half of the anterior column with transverse fractureContraindication Department of crushed sciatic support of acetabular fractures Simple fracture at the posterolateral acetabular Old fracture OtherPreoperative preparation 1. ready to explain the work, psychological counseling 2. c

3、onventional enema, catheterization 3. lower extremity ultrasound B 4. preparation of blood, autologous blood transfusion operationDeath Crown: inferior epigastric artery and anastomosis between the obturator artery, inferior epigastric artery and the communicating branch between the bladderObturator

4、 nerveFemoral vesselsZ y qZ y q Plate placedZ y qZ y qPlate placed Z y qPlate placedZ y qZ y qPlate placedZ y qZ y q Plate placedZ y qStoppa Advantages5.Heterotopic ossification low, low sciatic nerve injury1. Four sides of the body under direct vision fixation2. Vascular not exposed to bundles, a s

5、imple steel plate shaping3.Will not damage the lateral femoral cutaneous nerve4.Bilateral fixationZ y qComplication 1. Wound infection 2. Peritoneal perforation 3. External iliac vessel injury 4. Nerve injury 6. Deep vein thrombosis7. Inguinal hernia 8. Traumatic arthritis Case 1Z y qCase 2Z y qZ y

6、qCase 3Z y qCase 4Z y qZ y qCase 5Z y qZ y qZ y qCase 6Z y qZ y qThank You ! 改良Stoppa入路 治疗骨盆髋臼骨折 宁波巿第六医院创伤骨科 庄云强Experience IV Plate placedZ y qCase 1 z y q Z y qAdvantagesSatisfaction rate of fractures 83%100%1 84% 95%2 Rate of heterotopic ossification 0 7% Sciatic nerve injury 0%1. Ponsen KJ, Joosse P,Schigt A, et al.Internal fracture fixation using the stoppa approach in pelvic ring and Acetabular Fractures J Trauma,2006 ,61:662-667 2. Jakob M,Droeaer R, Zobrist R, et al. A less invasive anterior intrapelvic approach for the treatm