Document Detail

Percutaneous screw fixation of acetabular roof fractures by radiologists under CT and fluoroscopy guidance.
MedLine Citation:
PMID:  23345370     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study was to evaluate CT- and fluoroscopy-guided percutaneous screw fixation by radiologists in the management of acetabular roof fractures.
SUBJECTS AND METHODS: Fifty-two consecutive adult patients with a nondisplaced and isolated acetabular roof fracture were prospectively treated by an interventional radiologist who made a percutaneous screw fixation under CT and fluoroscopy guidance. All these procedures were performed under local anesthesia. The postoperative follow-up ranged from 36 to 48 months.
RESULTS: For each patient, two 6.5-mm Asnis III screws were inserted to fix the roof acetabular fracture. The mean procedure time was 45 minutes (range, 30-90 minutes). No complications were observed. Follow-up CT showed evidence of fracture healing. No evidence of secondary displacement, degenerative changes, or screw failure was noted. Using the rating system of D'Aubigne and Postel, all patients had excellent results.
CONCLUSION: The results of our study showed that nondisplaced acetabular roof fractures could be successfully treated by a minimally invasive technique with an excellent long-term outcome.
Nicolas Amoretti; Laurent Huwart; Olivier Hauger; Pierre-Yves Marcy; Yasir Nouri; Caroline Ibba; Pascal Boileau
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  200     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-24     Completed Date:  2013-04-04     Revised Date:  2014-01-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  447-50     Citation Subset:  AIM; IM    
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MeSH Terms
Acetabulum / radiography*,  surgery*
Aged, 80 and over
Bone Screws*
Fracture Fixation, Internal / instrumentation*
Fracture Healing
Hip Fractures / radiography*,  surgery*
Middle Aged
Operative Time
Prospective Studies
Radiography, Interventional*
Tomography, X-Ray Computed
Treatment Outcome
Comment In:
Rofo. 2013 Dec;185(12):1124

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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