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The surgical steps for pelvic fracture plate fixation mainly include preoperative preparation, anesthesia, incision and exposure, fracture reduction, implantation of internal fixation materials, and wound suture, etc. The following is a detailed introduction:
Preoperative preparation:
Comprehensive examination: Conduct a comprehensive examination of the patient, including pelvic X-rays, CT scans, etc., to determine the type and severity of the fracture.
Formulate a surgical plan: Based on the examination results, the doctor formulates a detailed surgical plan, including the location of the surgical incision, the internal fixation materials to be used, etc.
Patient preparation: The patient needs to undergo preoperative fasting, discontinuation of certain medications and other preparatory work.
Anesthesia
Surgeries usually require general anesthesia to ensure that patients do not feel pain during the operation.
Cut open and expose:
Selecting the incision: Depending on the location of the fracture and the surgical requirements, the doctor will choose an appropriate incision around the pelvis, such as a hip or hip incision.
Expose the fracture site: Cut open the skin and subcutaneous tissue, separate the muscles and fascia, and expose the fracture site.
Fracture reduction
Restore the anatomical position: By means of traction, manual reduction or the use of reduction forceps and other instruments, the fracture end is restored to its normal anatomical position.
Avoid injury: During the reduction process, it is necessary to pay attention to avoiding damage to important structures such as the lumbosacral plexus and iliac vessels.
Implant internal fixation materials
Select the bone plate: According to the fracture condition, choose the appropriate bone plate, such as a reconstruction plate, etc.
Immobilization of fractures: Place a bone plate on the surface of the bone at the fracture site and fix it with screws to ensure a tight connection between the fracture ends.
Suture the wound
Check the fixation condition: After confirming that the fracture reduction is good and the internal fixation position is appropriate, perform wound suturing.
Disinfection and bandaging: Disinfect and bandage the wound to prevent infection.