以方形区平面研究髋臼后柱顺行螺钉置入参数
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安徽医科大学第二附属医院

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R683.3

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Study on the parameters of anterograde screw placement in the posterior column of the acetabulum with quadrilateral plate
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Second Affiliated Hospital of Anhui Medical University

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    摘要:

    [目的] 提出一种髋臼后柱顺行螺钉置入新的参考方法和相关解剖学参数,为后期导板设计提供基础。[方法] 收集40例成人骨盆CT数据,通过mimics软件重建三维模型。置入一圆柱体,调整到理想位置,该圆柱体从髂翼内侧的穿出点(A)作为拉力螺钉的入钉点,从坐骨结节下方的穿出点(B)作为拉力螺钉的出钉点,在弓状缘上取点C,使AC为A点到弓状缘的最短距离,D点为骶髂关节最前缘,连接AC,CD;在mimics上找到方形区靠近坐骨大切迹后缘的一块较平整的区域,做一平面β平行于此区域,并做一平面γ垂直于平面β并与坐骨大切迹后缘相切。测量AC,CD的距离、拉力螺钉的最大半径和长度、拉力螺钉与平面β的夹角(a)及与平面γ的夹角(b)。[结果] 在同一侧别男性与女性比较中,螺钉的最大半径、最大长度和线段CD差异有统计学意义(P<0.05),线段AC、夹角a和夹角b差异无统计学意义(P>0.05);在同一性别左侧和右侧比较中,螺钉的最大半径、最大长度、线段AC 、CD、夹角a和b差异均无统计学意义(P>0.05)。[结论] 根据相关解剖学数据,使置钉过程更加精准安全,并为后期导板设计提供基础。

    Abstract:

    [Objective] To propose a new reference method and related anatomical parameters for anterograde screw placement in the posterior column of the acetabulum to provide a basis for the design of the late guide plate. [Method] Collect 40 adult pelvis CT data, and reconstruct the three-dimensional model with mimics software. Insert a cylinder and adjust it to the ideal position. The exit point (A) of the cylinder from the inner side of the iliac wing is used as the entry point of the lag screw, and the exit point (B) under the ischial tuberosity is used as the exit point of the lag screw. Nail point, take point C on the arcuate edge, make AC the shortest distance from point A to the arcuate edge, point D is the most anterior edge of the sacroiliac joint, connect AC, CD;A flat region of the quadrilateral plate near the posterior edge of the greater sciatic notch was found on mimics, make a plane β parallel to this area,and make a plane γ perpendicular to the plane β and tangent to the posterior edge of the ischial notch. Measure the distance between AC and CD, the maximum radius and length of the lag screw, the angle between the lag screw and the plane β (a) and the angle between the lag screw and the plane γ (b). [Results] In the comparison between males and females of the same side, the maximum radius, maximum length, and line CD of the screw were statistically significant (P<0.05), and the line AC, included angle a and included angle b were not statistically significant ( P>0.05); In the comparison between the left and right sides of the same sex, the maximum radius, maximum length, line AC, CD, included angle a and b of the screw were not statistically significant (P>0.05). [Conclusion] According to the relevant anatomical data, the nail placement process is more accurate and safer, and it provides a basis for the later design of the guide plate.

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  • 收稿日期:2021-06-03
  • 最后修改日期:2021-10-07
  • 录用日期:2021-12-02
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