›› 2011, Vol. 42 ›› Issue (5): 649-652.doi: 10.3969/j.issn.0529-1356.2011.05.015

• 解剖学 • 上一篇    下一篇

经皮逆行髋臼前柱螺钉的应用解剖与临床

祖罡1;毕大卫1*;郑琦2;王辉1;陈亿民1;魏威2;韩雷1;廖胜辉3   

  1. 1.杭州市萧山区第一人民医院骨科,杭州311200; 2.杭州市红十字会医院骨科,杭州310003;3.上海辉擎信息科技有限公司生物力学有限元分析中心,上海200120
  • 收稿日期:2011-01-24 修回日期:2011-05-11 出版日期:2011-10-06
  • 通讯作者: 毕大卫

Anatomy and clinics of the retrograde acetabulum anterior column screw percutaneously

  1. 1.Department of Orthopaedic, the First People’s Hospital of Xiao Shan, Hangzhou311200, China;2.Department of Orthopaedic, Red Cross Hospital of Hangzhou310003, China;3.Biomechanical Finite Element Analysis Center, Shanghai E-feature Information Technology Co., Ltd, Shanghai200120, China
  • Received:2011-01-24 Revised:2011-05-11 Online:2011-10-06
  • Contact: BI Da-wei

关键词: 髋臼, 前柱, 计算机辅助测量, 三维重建,

Abstract: Objective To investigate the optimization technique for computer aided measurement and provide anatomical data for the retrograde acetabulum anterior column screw percutaneously. Methods Forty pelvic model data were collected by CT scan and then reconstructed in 3-D. The optimization objective function for the single screw fixation was set, the optimal placement was accumulated under constraint conditions. The new anatomical reference marks were designed after the statistics were analyzed. Results The percutaneous retrograde anterior column acetabular screws entrance point lies in the superior ramus of pubis, pubic tubercle and the midpoint iliopubic uplift of the obturator crest. The out point is between the anterior superior iliac spine from top to bottom notch and above the midpoint of the greater sciatic notch. The connection of the two points is the longitudinal axis of the anterior column acetabular, which is parallel with the arcuate line. Its direction connected with the anterior inferior iliac spine was (42.84 ± 2.61) ° and with Iliac was (31.96 ± 2.58) °. Length of the screw in bone was (101.12 ± 7.28) mm. Conclusion The automatic optimization technique for computer aided measurement is very efficient and has many advantages over the conventional manual dissection methods, it is convenient to design an anatomical reference landmark system and formulate a surgical plan

Key words: Acetabulum, Anterior column, Computer aided measurement, 3-dimensional reconstruction, Human

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