Supra-acetabular Pin Placement Without Fluoroscopy in Anterior Pelvic External Fixation Application.

Area of Science:

• Orthopedic surgery
• Trauma management

Background:

• High-energy pelvic ring injuries pose significant mortality risks.
• Anterior pelvic external fixation is crucial for urgent stabilization.
• Supra-acetabular pin placement offers biomechanical advantages over iliac crest placement.

Purpose of the Study:

• To describe a novel, image-guidance-free, bedside technique for supra-acetabular pelvic external fixation.
• To provide a safe and efficient stabilization method for critically injured patients who cannot be transported to the operating room.

Main Methods:

• A technique for supra-acetabular pin placement without intraoperative imaging is detailed.
• The procedure is designed for bedside application in emergent trauma scenarios.

Main Results:

• The described technique allows for effective supra-acetabular pin placement at the bedside.
• This approach bypasses the need for operating room transport and time-consuming imaging.

Conclusions:

• Bedside supra-acetabular pelvic external fixation is a feasible and advantageous technique.
• This method enhances the management of high-energy pelvic ring injuries, especially in unstable patients.