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The "Well-Cap" Technique: Screw Insertion for Pelvic Nutrient Foramen Hemostasis
Brendan R Southam1, Frank R Avilucea2, Amanda J Schroeder2
1University of Cincinnati Medical Center, Department of Orthopaedic Surgery, Cincinnati, Ohio;
Journal of Surgical Orthopaedic Advances
|November 30, 2018
Summary
A novel technique using cortical screws effectively controls bleeding from pelvic nutrient foramina during acetabular surgery. This method offers a consistent and complication-free solution for osseous hemorrhage, improving surgical outcomes.
Area of Science:
- Orthopaedic Surgery
- Surgical Technique
- Anatomy
Background:
- Pelvic and acetabular surgeries often require dissection of the iliacus muscle.
- Bleeding from nutrient foramina near the sacroiliac joint is a common surgical challenge.
- Traditional methods like bone wax and electrocautery for hemostasis are inconsistent.
Purpose of the Study:
- To introduce and evaluate a novel technique for controlling osseous hemorrhage from pelvic nutrient foramina.
- To provide a reliable method for achieving hemostasis during acetabular approaches.
Main Methods:
- A technical tip describing a new surgical method.
- Insertion of a cortical screw directly into the bleeding nutrient foramen.
- Application in cases of refractory bleeding during pelvic and acetabular procedures.
Main Results:
- The cortical screw technique consistently achieved hemostasis.
- No complications were reported with this novel approach.
- Effective control of osseous hemorrhage was observed.
Conclusions:
- Direct insertion of a cortical screw is a consistently effective technique for managing refractory osseous hemorrhage from pelvic nutrient foramina.
- This method presents a safe and reliable alternative to traditional hemostatic techniques in acetabular surgery.