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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 5/2013

01-05-2013 | Trauma Surgery

Percutaneous navigated screw fixation of glenoid fractures

Authors: Florian Gras, Ivan Marintschev, Matthias Aurich, Sascha Rausch, Kajetan Klos, Gunther O. Hofmann

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2013

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Abstract

Background

Open or percutaneous arthroscopic-based procedures are reported to fix unstable or displaced intra-articular glenoid fractures. Approach related morbidity has to be considered for open procedures, and arthroscopic-based procedures are demanding. Therefore an alternative percutaneous navigated approach is described.

Technical procedure

In an experimental setting an operative workflow was simulated to evaluate the best position of the patient on the operation table, the operating room set up and the fixation technique for the dynamic reference base of the navigation system. Based on two clinical cases, screw fixation of glenoid fractures via a posterior percutaneous approach is described, using a 2D-fluoroscopic based navigation system. Compared to the common approaches, the advantages and disadvantages of this procedure are discussed.

Conclusion

The described technique of percutaneous navigated screw fixation of glenoid fractures is an alternative minimal invasive procedure. A reduction of approach related morbidity and more rapid return to function could be expected. The intraoperative results and postoperative functional outcome of both cases are promising.
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Metadata
Title
Percutaneous navigated screw fixation of glenoid fractures
Authors
Florian Gras
Ivan Marintschev
Matthias Aurich
Sascha Rausch
Kajetan Klos
Gunther O. Hofmann
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 5/2013
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-013-1699-4

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