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[Percutaneous screw techniques for the pelvic ring and acetabulum].

Philipp Lichte1, Hatem Alabdulrhaman1, Miguel Pishnamaz1

  • 1Klinik für Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Der Unfallchirurg
|April 27, 2019
PubMed
Summary

Percutaneous screw osteosynthesis offers minimal soft tissue damage for pelvic ring and acetabular fractures. Accurate screw placement relies on computed tomography (CT) planning and intraoperative fluoroscopy.

Keywords:
Column screwIliosacrale srewMinimally invasive surgical proceduresRadiographyScrew osteosynthesis

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Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Surgical techniques

Background:

  • Pelvic ring and acetabular fractures require surgical intervention.
  • Percutaneous screw osteosynthesis is a minimally invasive approach.
  • This technique minimizes soft tissue damage compared to open procedures.

Purpose of the Study:

  • To describe the indications for percutaneous screw fixation.
  • To detail the techniques for commonly used percutaneous screws.
  • To highlight the importance of preoperative planning and intraoperative imaging.

Main Methods:

  • Review of current literature on percutaneous screw osteosynthesis for pelvic and acetabular fractures.
  • Description of preoperative planning using computed tomography (CT).
  • Explanation of intraoperative fluoroscopy guidance for screw placement.

Main Results:

  • Percutaneous screw osteosynthesis is effective for specific pelvic ring and acetabular fractures.
  • It is often used adjunctively with open osteosynthesis but can be a standalone procedure.
  • Successful application requires precise anatomical knowledge and radiological control.

Conclusions:

  • Percutaneous screw osteosynthesis is a valuable technique for treating pelvic ring and acetabular fractures.
  • Careful preoperative planning with CT and intraoperative fluoroscopy are crucial for accurate screw placement.
  • This approach offers advantages in reducing soft tissue injury.