• J Orthop Trauma · Jan 2014

    Review

    Intraoperative fluoroscopic evaluation of screw placement during pelvic and acetabular surgery.

    • Chengla Yi, Sean Burns, and David J Hak.
    • *Department of Trauma Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; †Department of Orthopaedic Surgery, Denver Health, Denver, CO; ‡Department of Orthopaedic Surgery, University of Colorado, Denver, CO.
    • J Orthop Trauma. 2014 Jan 1;28(1):48-56.

    AbstractThe surgical treatment of pelvic and acetabular fractures can be technically challenging. Various techniques are available for the reconstruction of pelvic and acetabular fractures. Less invasive percutaneous fracture stabilization techniques, with closed reduction or limited open reduction, have been developed and are gaining popularity in the management of pelvic and acetabular fractures. These techniques require knowledge and interpretation of various fluoroscopic images to ensure appropriate and safe screw placement. Given the anatomic complexity of the intrapelvic structures and the 2-dimensional nature of standard fluoroscopy, multiple images oriented in different planes are needed to assess the accuracy of guide wire and screw placement. This article reviews the fluoroscopic imaging of common screw orientations during pelvic and acetabular surgery.

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