Antegrade posterior column screw fixation for acetabular fractures: It's time to standardize the surgical technique

Antegrade fixation of posterior column fractures of the acetabulum is challenging due to the narrow corridor and risk of screw misplacement. Although both antegrade and retrograde lag screws have been previously described for posterior column fracture fixation, the literature lacks a standardized te...

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Bibliographic Details
Published in:Injury 2023-11, Vol.54 Suppl 6, p.110579-110579, Article 110579
Main Authors: Boni, Guilherme, Pires, Robinson Esteves, Sanchez, Gustavo Tadeu, Giordano, Vincenzo
Format: Article
Language:English
Subjects:
Acetabulum - diagnostic imaging
Acetabulum - injuries
Acetabulum - surgery
Bone Screws
Fracture Fixation, Internal - methods
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Hip Fractures
Humans
Spinal Fractures
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Summary:Antegrade fixation of posterior column fractures of the acetabulum is challenging due to the narrow corridor and risk of screw misplacement. Although both antegrade and retrograde lag screws have been previously described for posterior column fracture fixation, the literature lacks a standardized technique for correct and safe screw placement, especially in an antegrade fashion. This technical note aims to optimize intraoperative images during posterior screw insertion using the antegrade technique, according to predetermined landmarks to save surgical time, decrease radiation exposition, and prevent surgical complications.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2023.01.017