[Minimal invasive fixation for pelvic fracture with fluoroscopy-based navigation]

Area of Science:

• Orthopedic Surgery
• Medical Technology
• Skeletal Trauma Management

Background:

• Pelvic fractures present complex management challenges.
• Traditional surgical approaches may involve significant invasiveness.
• Minimally invasive techniques are increasingly explored for improved patient outcomes.

Purpose of the Study:

• To evaluate the safety and efficacy of minimally invasive fixation for pelvic fractures.
• To assess the utility of fluoroscopy-based navigation in guiding percutaneous screw placement.
• To determine the impact of this technique on surgical precision and patient recovery.

Main Methods:

• A prospective study involving 22 patients with pelvic fractures treated between April 2007 and June 2008.
• Percutaneous screw fixation was performed using a fluoroscopy-based navigation system after closed reduction.
• Patients underwent preoperative skeletal traction followed by surgical intervention.

Main Results:

• A total of 42 screws were inserted with an average operative time of 20.4 minutes per screw.
• A high screw insertion accuracy rate of 97.6% was achieved, with only one screw requiring reinsertion.
• No incision site complications or implant failures were reported during the follow-up period (average 14.5 months).

Conclusions:

• Minimally invasive fixation with fluoroscopy-based navigation is a precise and time-efficient method for managing pelvic fractures.
• This technique leads to satisfactory fracture union and excellent functional outcomes (100% excellent and good rate).
• The approach demonstrates a favorable safety profile without an increased risk of complications.