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Coronal Acetabular Fractures: The Anterior Approach in Computed Tomography-Navigated Minimally Invasive Percutaneous Fixation

Journal Article · · Cardiovascular and Interventional Radiology
DOI:https://doi.org/10.1007/S002700010061· OSTI ID:21083598
 [1];  [2];  [1];  [2];  [1];  [2]
  1. Institute of Diagnostic Radiology, University Hospital of Basel, Petersgraben 4, CH-4031 Basel (Switzerland)
  2. Department of Surgery, University Hospital of Basel, Petersgraben 4, CH-4031 Basel (Switzerland)
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Purpose: To demonstrate the technical feasibility of the anterior approach to the coronal roof component of carefully selected acetabular fractures in computed tomography (CT)-navigated closed reduction and percutaneous fixation (CRPF).Methods: Four patients with nondisplaced or slightly displaced coronal fractures of the acetabular roof were treated with percutaneous screw fixation. Screws were implanted over guidepins placed under CT navigation. Mean clinical and radiological follow-up was 16 months.Results: All screws could be placed as intended. There were no peri- or postoperative complications. Radiological follow-up showed primary osseous union. Clinical results were excellent according to a median Merle-d'Aubigne score of 18.Conclusion: Nondisplaced or slightly displaced coronally oriented fractures of the acetabular roof can be treated by minimally invasive percutaneous CT-navigated fixation through an anterior approach that does not endanger the sciatic nerve. Early clinical results are encouraging. Close cooperation between trauma surgeons and radiologists and careful selection of cases is mandatory.
OSTI ID:
21083598
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 23; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BONE FRACTURES
COMPUTERIZED TOMOGRAPHY
INJURIES
PATIENTS
SCIATIC NERVE
VASCULAR DISEASES