Antegrade posterior column screw fixation for acetabular fractures: It's time to standardize the surgical technique

被引:3
作者
Boni, Guilherme [1 ]
Pires, Robinson Esteves [2 ]
Sanchez, Gustavo Tadeu [1 ]
Giordano, Vincenzo [3 ]
机构
[1] Univ Fed Sao Paulo, Dept Ortoped & Traumatol, Sao Paulo, SP, Brazil
[2] Univ Fed Minas Gerais, Dept Aparelho Locomotor, Belo Horizonte, MG, Brazil
[3] Hosp Municipal Miguel Couto, Serv Ortoped & Traumatolo Prof Nova Monteiro, Rio De Janeiro, RJ, Brazil
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2023年 / 54卷
关键词
Acetabular fractures; Posterior column fractures; Percutaneous fixation; Transverse fractures of the acetabulum; Posterior column fractures of the; acetabulum; Antegrade lag screw fixation for acetabular fractures; LAG SCREW; SAFE ZONE;
D O I
10.1016/j.injury.2023.01.017
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Antegrade fixation of posterior column fractures of the acetabulum is challenging due to the narrow corridor and risk of screw misplacement. Although both antegrade and retrograde lag screws have been previously described for posterior column fracture fixation, the literature lacks a standardized technique for correct and safe screw placement, especially in an antegrade fashion. This technical note aims to optimize intraoperative images during posterior screw insertion using the antegrade technique, according to predetermined landmarks to save surgical time, decrease radiation exposition, and prevent surgical complications. (c) 2023ElsevierLtd. All rights reserved.
引用
收藏
页数:6
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