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Coronal acetabular fractures: the anterior approach in computed tomography-navigated minimally invasive percutaneous fixation.

Abstract：

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'Aubigné 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.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Jacob AL,Suhm N,Kaim A,Regazzoni P,Steinbrich W,Messmer P

doi

10.1007/s002700010061

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

327-31

issue

5

eissn

0174-1551

issn

1432-086X

pii

10.1007/s002700010061

journal_volume

23

pub_type

杂志文章

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