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European Journal of Orthopaedic Surgery & Traumatology

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Open Access 29-03-2024 | Acetabular Fracture | Original Article

Optimizing percutaneous reduction and fixation with guidewire modification in pelvic and acetabular fractures: surgical technique and case series

Authors: Aiman Mudawi, Osama Alzobi, Jawad Nouraldeen Derbas, Ghalib Ahmed, Maamoun Abousamhadaneh

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2024

Abstract

Background

Minimally invasive percutaneous screw fixation for pelvic ring and acetabular fractures has become increasingly popular due to its numerous benefits. However, the precise placement of the screw remains a critical challenge, necessitating a modification of the current techniques. This paper introduces a refined technique employing a modified guidewire to enhance the precision and efficiency of percutaneous fixation in pelvic and acetabular fractures.

Methods

This study details the surgical techniques implemented for correcting guidewire misdirection in percutaneous screw fixation and includes a retrospective analysis of patients treated with this modified approach over a three-year period.

Results

In this study, 25 patients with pelvic ring and acetabular fractures underwent percutaneous screw fixation. The cohort, predominantly male (23 out of 25), had an average age of 38 years. The majority of injuries were due to traffic accidents (18 out of 25). Types of injuries included pelvic ring (6 cases), acetabular fractures (8 cases), and combined injuries (11 cases). Various screw types, including antegrade and retrograde anterior column screws, retrograde posterior column screws, and lateral compression screws, were used, tailored to each case. Over an average follow-up of 18 months, there were no additional procedures or complications, such as neurovascular injury or hardware failure, indicating successful outcomes in all cases.

Conclusions

This study introduces a simple yet effective method to address guidewire misdirection during percutaneous fixation for pelvic and acetabular fractures, offering enhanced precision and potentially better patient outcomes. Further research with a larger patient cohort is required for a more comprehensive understanding of its efficacy compared to traditional methods.

Level of evidence

IV. Therapeutic Study (Surgical technique and Cases-series).

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Title: Optimizing percutaneous reduction and fixation with guidewire modification in pelvic and acetabular fractures: surgical technique and case series
Authors: Aiman Mudawi
Osama Alzobi
Jawad Nouraldeen Derbas
Ghalib Ahmed
Maamoun Abousamhadaneh
Publication date: 29-03-2024
Publisher: Springer Paris
Keyword: Acetabular Fracture
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2024
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-024-03905-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Optimizing percutaneous reduction and fixation with guidewire modification in pelvic and acetabular fractures: surgical technique and case series

Abstract

Background

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Level of evidence

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