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术内计算机断层扫描用于皮肤穿透的骨盆固定:一个追溯的案例系列

Monahan Kevin¹, Hogan William¹, Matthew Chilton²

¹Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA, 15201, USA.

International orthopaedics

|August 14, 2024

概括

使用O臂系统的手术内计算机断层扫描 (CT) 有助于骨盆骨折的固定. 使用手术内CT实时调整可以防止错位植入物的修复手术.

科学领域:

整形外科手术整形外科手术
医学成像医学成像
创伤护理的护理人员.

背景情况:

骨盆环骨折是复杂的伤害,需要精确的治疗.
在光镜下皮固定是标准的,但可能具有挑战性.
患者因素和图像质量影响手术结果.

研究的目的:

用O臂成像系统评估手术内计算机断层扫描 (CT).
为了评估其在指导皮肤穿螺丝安置用于骨盆骨折的有效性.
为了比较其效用与标准光学和术后CT.

主要方法:

对23名接受骨盆固定治疗的患者进行了回顾性审查.
使用了手术内CT,并与光镜一起使用O臂系统.
包括皮固定和开放降低内部固定 (ORIF) 等程序.

主要成果:

在手术中CT增加了平均24.4分钟的手术时间.
五名患者 (21.7%) 需要在O臂成像后进行植入物调整.
在术后CT评估后,没有必要进行修复手术.

结论:

在手术内CT允许实时调整植入物放置.
这种技术有可能防止昂贵和复杂的修复手术.
术内CT是提高骨盆骨折固定精度的宝贵工具.

关键词:

图像扫描 (CT) 扫描是一种扫描.光镜检测是一种光学检测.内部运营机构内部运营机构在O-手臂.骨盆骨盆骨盆骨盆骨盆骨盆修订修订修订

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