Intraoperative fluoroscopy to evaluate fracture reduction and hardware placement during acetabular surgery.

Abstract:

OBJECTIVES:To evaluate use of intraoperative fluoroscopy during acetabular surgery to determine fracture reduction and accurate placement of screws. DESIGN:Retrospective. SETTING:Level I trauma center. PARTICIPANTS:Thirty patients with thirty-two acetabular fractures. INTERVENTION:Patients were evaluated with fluoroscopy during surgery to assess fracture reduction and screw placement. Anterior-posterior (AP), oblique, and lateral pelvic fluoroscopic images were obtained intraoperatively. Postoperative radiographs were used to verify fluoroscopic findings; computed tomography (CT) scans were used as the control to assess intraarticular screw placement. MAIN OUTCOME MEASUREMENTS:Radiographic and clinical assessment of fracture reduction and screw placement. RESULTS:Intraoperative fluoroscopy confirmed the extra-articular position of all screws evaluated. Postoperative CT scans confirmed the extra-articular placement of all screws assessed by fluoroscopy. Quality of reduction using intraoperative fluoroscopic images had a 100 percent correlation with reduction on final radiographs. One patient, with two screws placed without fluoroscopic evaluation, had intra-articular placement requiring revision surgery. CONCLUSIONS:Intraoperative fluoroscopy is effective in evaluating both acetabular fracture reduction and hardware placement.

journal_name

J Orthop Trauma

authors

Norris BL,Hahn DH,Bosse MJ,Kellam JF,Sims SH

doi

10.1097/00005131-199908000-00004

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

414-7

issue

6

eissn

0890-5339

issn

1531-2291

journal_volume

13

pub_type

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