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Definition of a safe zone for antegrade lag screw fixation of fracture of posterior column of the acetabulum by 3D technology

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单位: [1]Southern Med Univ, Nanfang Hosp, Dept Orthopaed & Traumatol, 1838 North Guangzhou Ave, Guangzhou 510515, Guangdong, Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Orthopaed & Traumatol,Wuhan 430000,Peoples R China [3]Univ Hong Kong, Queen Mary Hosp, Dept Orthopaed & Traumatol, Hong Kong, Hong Kong, Peoples R China
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关键词: Acetabular fractures Posterior column Antegrade lag screw Safe zone 3D technology

摘要:
The objective of this study was to define a safe zone for antegrade lag screw fixation of fracture of posterior column of the acetabulum using a novel 3D technology. Pelvic CT data of 59 human subjects were obtained to reconstruct three-dimensional (3D) models. The transparency of 3D models was then downgraded along the axial perspective (the view perpendicular to the cross section of the posterior column axis) to find the largest translucent area. The outline of the largest translucent area was drawn on the iliac fossa. The line segments of OA, AB, OC, CD, the angles of OAB and OCD that delineate the safe zone (ABDC) were precisely measured. The resultant line segments OA, AB, OC, CD, and angles OAB and OCD were 28.46 mm(13.15-44.97 mm), 45.89 mm (34.21-62.85 mm), 36.34 mm (18.68-55.56 mm), 53.08 mm (38.72-75.79 mm), 37.44 degrees (24.32-54.96 degrees) and 55.78 degrees (43.97-79.35 degrees) respectively. This study demonstrates that computer-assisted 3D modelling techniques can aid in the precise definition of the safe zone for antegrade insertion of posterior column lag screws. A full-length lag screw can be inserted into the zone (ABDC), permitting a larger operational error. (C) 2016 Elsevier Ltd. All rights reserved.

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出版当年[2015]版:
大类 | 3 区 医学
小类 | 2 区 急救医学 3 区 骨科 3 区 外科 4 区 危重病医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 急救医学 3 区 骨科 3 区 外科 4 区 危重病医学
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出版当年[2014]版:
Q1 EMERGENCY MEDICINE Q2 ORTHOPEDICS Q2 SURGERY Q3 CRITICAL CARE MEDICINE
最新[2024]版:
Q2 EMERGENCY MEDICINE Q2 ORTHOPEDICS Q2 SURGERY Q3 CRITICAL CARE MEDICINE

影响因子: 最新[2024版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Southern Med Univ, Nanfang Hosp, Dept Orthopaed & Traumatol, 1838 North Guangzhou Ave, Guangzhou 510515, Guangdong, Peoples R China
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通讯机构: [3]Univ Hong Kong, Queen Mary Hosp, Dept Orthopaed & Traumatol, Hong Kong, Hong Kong, Peoples R China [*1]Queen Mary Hosp, 5-f,Professorial Block,Pok Fu Lam Rd, Hong Kong, Hong Kong, Peoples R China
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