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Subject Area

Orthopedics

Article Type

Original Study

Abstract

Objective: Is to evaluate results of percutaneous screw fixation of acetabular column fractures. Design: This study included 18 patients with acetabular column fractures. They were fixed under fluoroscopy guidance by percutaneous column screws. Background: Acetabular geometry makes percutaneous screw insertion a challenging procedure. An anatomical reduction of acetabular fractures is a good predictor of functional outcome and reduced risk of posttraumatic osteoarthritis. The percutaneous technique allows for earlier return to activity and better pain control when compared with nonsurgical management. Percutaneous technique has been described in the literature as an adjuvant to open reduction and internal fixation. Results: According to the Modified Merle d’Aubigné Hip Score majority of patients (83.3%) had satisfactory results (excellent and good results) while no poor results and 3 patients (16.7%) had fair results were recorded. Mean scoring at final follow up was (15.72 ± 1.6 Mean ± SD) with an average of 15.5 (13 – 18). According to Matta Radiological score we had “anatomical” 12 cases (66.7%), “imperfect” 6 cases (33.3%), and no “poor” cases. Conclusion: Percutaneous acetabular fixation has the advantage of limiting soft tissue disruption, length of surgery, and blood loss. The percutaneous technique is recommended for nondisplaced or slightly displaced fractures, and associated with fewer complications.

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