Percutaneous screw fixation of acetabular fractures

Abstract

AimsTo investigate the use of PCS fixation for acetabular fractures including indications, preoperative planning, operative technique, and complications during the study period. Setting and designA retrospective and prospective study of PCS fixations of several types of acetabular fractures nondisplaced and minimally displaced guided by fluoroscopy.Patients and methodsThe study included 20 patients after obtaining informed consent they were operated and studied for acetabular fixation by anterior column, posterior column, supra-acetabular screws, combination of all and combination of plate and screw between 2015 and 2019.Statistical analysis used The software for statistical package for social sciences for windows 10 was used for all statistical calculations. Each variable was tested for its normal value using the Mann-Whitney Test and exact P values were calculated. Significance was set at the P value of less than 0.05 level.ResultsAll cases had good to excellent functional results according to the modified Merle d’Aubigne Hip Score. We managed to mobilize all patients out of bed from the 2nd day of surgery and managed to avoid double approaches for transverse fractures.ConclusionOur results show that PCS under fluoroscopic control is a safe technique to treat some patterns of acetabular fractures and with some tips and tricks surgical and fluoroscopy time can be minimized.Key-wordsAcetabular fracture - Minimally invasive technique - Percutaneous fixation.Key MessagesPCS fixation of acetabular fractures using fluoroscopic guidance is a safe and relatively easy surgical procedure to treat minimally displaced fractures with several advantages.