Progress on treatment of acetabular quadrilateral plate injury
10.12200/j.issn.1003-0034.20230822
- VernacularTitle:髋臼四边体损伤的治疗进展
- Author:
Jing-Wei XIAO
1
;
Ming LI
;
Dian WANG
;
Xiao-Dong GUO
;
Zhi-Yong HOU
Author Information
1. 宁波大学医学部,浙江 宁波 315211
- Keywords:
Acetabulum;
Quadrilateral plate;
Anatomy;
Surgical approach;
Internal fixation
- From:
China Journal of Orthopaedics and Traumatology
2024;37(3):319-326
- CountryChina
- Language:Chinese
-
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 displace-ment 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 vol-ume and revision techniques are still a hot topic.In this paper,the viewpoints of three-dimensional network structure of acetab-ular 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.
