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International Orthopaedics

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01-06-2018 | Original Paper

Three-dimensional navigation-guided percutaneous screw fixation for nondisplaced and displaced pelvi-acetabular fractures in a major trauma centre

Authors: King Him Chui, Chi Chiu Dennis Chan, Ka Chun Ip, Kin Bong Lee, Wilson Li

Published in: International Orthopaedics | Issue 6/2018

Abstract

Background

Navigation assisted minimally invasive percutaneous screw fixation (MIS) for pelvi-acetabular fracture was recently advocated.

Methods

We report 38 consecutive cases of pelvi-acetabular fractures treated with 3D navigation-guided MIS from 2015 to 2016. Ohe hundred and forty-three screws were inserted (59 sacroiliac, 45 retrograde anterior column, 34 supra-acetabular, three antegrade posterior-column and two subcristal). Navigation planning was mainly performed pre-operatively.

Results

The mean operative blood loss and time was 179 ml and 141 mins, respectively. The distance (deviation) between the planned and executed screw entry and tip measured by the navigation computer were 1.91 and 1.94 mm, respectively. There were no immediate or early surgical complications. Patients were followed for at least 6 month; 79% had fracture healing at 4.3 months on average, and 53% walked unaided by the six month follow-up. The average visual analogue scale for pain was 2.69.

Conclusion

We believe 3D navigation-guided MIS is a safe and effective surgical alternative in most pelvi-acetabular fractures.

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Title: Three-dimensional navigation-guided percutaneous screw fixation for nondisplaced and displaced pelvi-acetabular fractures in a major trauma centre
Authors: King Him Chui
Chi Chiu Dennis Chan
Ka Chun Ip
Kin Bong Lee
Wilson Li
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 6/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3659-z

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Three-dimensional navigation-guided percutaneous screw fixation for nondisplaced and displaced pelvi-acetabular fractures in a major trauma centre

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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