Minimally invasive pelvic surgery

The pelvis is the mechanical connection between the lower extremities and the spinal column. The aim of surgical treatment for pelvic and acetabular injuries is to compensate the strong mechanical forces needed here, without compromising wound healing and restricting muscle function due to additional soft tissue damage. In recent years, minimally invasive stabilizing techniques, which reduce surgical risks and recovery time as well as improving outcomes, have become increasingly established. The increased use of improved imaging modalities also plays a significant role here. Surgical errors can be avoided in the osteosynthesis of acetabular fractures by means of intraoperative visualization using 3D image converters. Navigated percutaneous pelvic sacroiliac screw fixation is the main procedure to be used for pelvic and acetabular navigation. New software enables a 2D representation of the hip area and a 3D calculation of instrument and implant positions, thereby reducing X-ray exposure and increasing intraoperative safety.