Evaluation of a computer integrated surgical technique for percutaneous fixation of transverse acetabular fractures

1997 ◽  
pp. 565-572 ◽  
Author(s):  
D. M. Kahler ◽  
R. Zura
Keyword(s):  
Surgical Technique ◽  
Acetabular Fractures ◽  
Percutaneous Fixation

Percutaneous Fixation of Acetabular Fractures in the Elderly

2012 ◽  
Vol 2 (7) ◽  
Author(s):  
Thomas A. DeCoster
Keyword(s):  
The Elderly ◽  
Acetabular Fractures ◽  
Percutaneous Fixation

An Efficient and Accurate Prediction of the Stability of Percutaneous Fixation of Acetabular Fractures With Finite Element Simulation

2011 ◽  
Vol 133 (9) ◽  
Author(s):  
V. B. Shim ◽  
J. Böshme ◽  
P. Vaitl ◽  
C. Josten ◽  
I. A. Anderson
Keyword(s):  
Finite Element ◽  
Posterior Wall ◽  
Acetabular Fractures ◽  
Fe Model ◽  
Open Approach ◽  
Percutaneous Fixation ◽  
Biomechanical Stability ◽  
Posterior Wall Fracture ◽  
Interfragmentary Movement ◽  
The Stability

Posterior wall fracture is one of the most common fracture types of the acetabulum and a conventional approach is to perform open reduction and internal fixation with a plate and screws. Percutaneous screw fixations, on the other hand, have recently gained attention due to their benefits such as less exposure and minimization of blood loss. However their biomechanical stability, especially in terms interfragmentary movement, has not been investigated thoroughly. The aims of this study are twofold: (1) to measure the interfragmentary movements in the conventional open approach with plate fixations and the percutaneous screw fixations in the acetabular fractures and compare them; and (2) to develop and validate a fast and efficient way of predicting the interfragmentary movement in percutaneous fixation of posterior wall fractures of the acetabulum using a 3D finite element (FE) model of the pelvis. Our results indicate that in single fragment fractures of the posterior wall of the acetabulum, plate fixations give superior stability to screw fixations. However screw fixations also give reasonable stability as the average gap between fragment and the bone remained less than 1 mm when the maximum load was applied. Our finite element model predicted the stability of screw fixation with good accuracy. Moreover, when the screw positions were optimized, the stability predicted by our FE model was comparable to the stability obtained by plate fixations. Our study has shown that FE modeling can be useful in examining biomechanical stability of osteosynthesis and can potentially be used in surgical planning of osteosynthesis.

scholarly journals Safe surgical technique for associated acetabular fractures

2013 ◽  
Vol 7 (1) ◽  
pp. 7 ◽  
Author(s):  
Takashi Suzuki ◽  
Wade R Smith ◽  
Cyril Mauffrey ◽  
Steven J Morgan
Keyword(s):  
Surgical Technique ◽  
Acetabular Fractures

scholarly journals A novel approach for posterior acetabular fractures: Surgical technique

2019 ◽  
Vol 16 (6) ◽  
pp. 7950-7962
Author(s):  
Fuming Huang ◽  
Yuhui Chen ◽  
◽  
Tao Li ◽  
Han Liu ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Acetabular Fractures ◽  
Novel Approach

Fragment specific fixation technique using 2.7 mm VA LCP for comminuted posterior wall acetabular fractures: a novel surgical technique

2019 ◽  
Vol 139 (11) ◽  
pp. 1587-1597 ◽  
Author(s):  
Jae-Woo Cho ◽  
Hoe Jeong Chung ◽  
Beom-Soo Kim ◽  
Do-Hyun Yeo ◽  
Jong-Hyeop Song ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Posterior Wall ◽  
Acetabular Fractures ◽  
Fixation Technique ◽  
Specific Fixation

scholarly journals Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Halil Ceylan ◽  
Ozgur Selek ◽  
Ahmet Y. Sarlak
Keyword(s):  
Renal Transplant ◽  
Transplant Recipient ◽  
Renal Transplant Recipient ◽  
Motor Vehicle ◽  
Iliac Fossa ◽  
Developed Countries ◽  
Anterior Column ◽  
Acetabular Fractures ◽  
Percutaneous Fixation ◽  
Ilioinguinal Approach

Renal transplantation, performed per million population, ranges from 30 to 60 in developed countries. The transplanted kidney is generally placed in iliac fossa; therefore the treatment procedure of the pelvic trauma in these patients should be selected carefully. The gold standard technique for the treatment of displaced acetabulum fractures is open reduction and internal fixation. Our patient had received a living-related-donor renal transplant due to chronic renal failure. In the second year of transplantation, she had been injured in a motor-vehicle accident, and radiographs showed a right acetabular anterior column fracture and left pubic rami fractures. The patient was treated with percutaneous fixation techniques and at one year of postoperative period there was no evidence of degenerative signs and the clinical outcome was good. Beside having the advantage of avoiding dissection through the iliac fossa by the standard ilioinguinal approach, percutaneous techniques, with shorter surgical time, decreasing soft tissue disruption, and the potential for early discharge from hospital might be ideal for a renal transplant recipient carrying a higher risk of infection. Percutaneous fixation of selected acetabular fractures in a renal transplant recipient would presumably have the potential to decrease the morbidity associated with traditional open surgical procedures.

Percutaneous fixation of bilateral anterior column acetabular fractures: A case report

2014 ◽  
Vol 11 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Raju Vaishya ◽  
Rajesh Kumar ◽  
Raj Ram Maharjan
Keyword(s):  
Case Report ◽  
Anterior Column ◽  
Acetabular Fractures ◽  
Percutaneous Fixation
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