2023Year6moon13day,According to Mohou.comused by Orthopedic Trauma Team of Taihe County People’s Hospital3DPrinting Technology Successfully Implemented Closed Reduction and Internal Fixation with Canal Screws for Pelvic Fractures and Salvages80An elderly man suffering from multiple pelvic fractures.
80Uncle Jiang, who was 20 years old, was unfortunately involved in a car accident and was sent to the emergency department of Taihe County People’s Hospital for treatment. After examination, the initial diagnosis was “multiple pelvic fractures” and he was immediately transferred to the orthopedic trauma department for treatment.
△Images of patient trauma
After being admitted to the hospital, Uncle Jiang was in great pain due to severe pain and could no longer move. Complications such as pneumonia quickly developed. He also had difficulty urinating and defecating and would not eat. the condition deteriorated. Family members are eager to provide active treatment to the patient and provide pain relief.
The pelvis is responsible for protecting the important organs of the pelvic cavity and it is also responsible for supporting the upper and lower parts of the body.“Connector”. Many blood vessels and nerves surround it. Once a serious fracture occurs, it may lead to consequences such as hemorrhagic shock, bladder and urethra damage, nerve damage, etc. This is why the pelvic fracture is also called the “king of fractures”.
△3DPrint model
Deputy chief physician Ding Xiang and attending physician Meng Qingyu immediately discussed treatment methods with the department team. For pelvic fractures, the traditional surgical method requires an incision around the pelvis, causing significant trauma and slow recovery. If you are not careful during the operation, the patient risks hemorrhagic shock and death. Considering Uncle Jiang’s age, osteoporosis, and personal history of high blood pressure and cerebral infarction, it was decided to perform minimally invasive pelvic surgery on Uncle Jiang.
Under the leadership of Ruan Chuanjiang, director of the third department of the orthopedics department, and Han Yuhu, deputy director, the anesthesiology department and the operating room were jointly assisted, and the trauma department and orthopedics combined with preoperative services3DThe printing technology was used to perform “closed reduction and canal screw internal fixation of a pelvic fracture” on the patient. This operation results in minimal trauma, less intraoperative bleeding, and rapid postoperative recovery. This is a truly minimally invasive treatment for pelvic fractures.
△Intraoperative images and surgical incisions
Canal screw surgery uses multiple screws of different lengths to stably fix the pelvic fracture after reduction. Due to the density of blood vessels and nerves around the pelvis, even the slightest difference can make a huge difference. The orthopedic trauma medical team carried out the preoperative design with care and rigor, combined with3DPrinting technology is used to design the entry point of the screw channel as well as the direction and length of the screw channel. During the operation, it is performed from several angles such as pelvic entry position, exit position, sacral lateral position, iliac oblique position. , and oblique position of the shutter.XThreadCArm-machine fluoroscopy and precise canal screw implantation avoid intraoperative damage to pelvic blood vessels, nerves, and screws due to penetrating joints.
Uncle Jiang’s pain was significantly relieved and he was able to sit up in bed on the first day after the operation. Uncle Jiang said to the doctor:“My pain is significantly reduced and I can start moving my legs. I don’t have to stay in bed for months and it costs less. It’s great!”
At present, the Department of Trauma and Orthopedics of Taihe County People’s Hospital has successfully performed several single-channel, double-channel and multi-channel screw closed reduction and internal fixation surgical procedures for fractures. pelvic.3DPrinting technology and orthopedic robots continue to provide patients with more personalized services, promote the development of multidisciplinary integration, and provide patients with more detailed, standardized and comprehensive diagnosis and treatment services.
Source: Taihe Health
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