New screw technique for posterior column and ischial fixation from the anterior approach for acetabular fractures
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023..
Management of the ischial fragment in acetabular fractures is a considerable problem. In this report, we presented how to drill or screw around the posterior column and ischium from the anterior approach using a novel 'sleeve guide technique' and the difficulty of plating. A sleeve, drill, depth gauge and driver from DepuySynthes were prepared. The portal was about 2-3 cm inside the anterior superior iliac spine opposite to the side of the fracture. The sleeve was inserted to the screw point around quadrilateral area through the retroperitoneal space. Drilling, measuring screw length by a depth gauge and the screwing were performed through the sleeve. Case 1 used a one-third plate and case 2 used a reconstruction plate. With this technique, the approach angles to the posterior column and ischium were inclined, and plating and screw insertion could be performed with a low risk of organ injury.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:2023 |
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Enthalten in: |
Journal of surgical case reports - 2023(2023), 2 vom: 28. Feb., Seite rjad073 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Asanuma, Kunihiro [VerfasserIn] |
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Links: |
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Themen: |
Acetabular fractures |
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Anmerkungen: |
Date Revised 03.03.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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doi: |
10.1093/jscr/rjad073 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM353663328 |
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520 | |a Management of the ischial fragment in acetabular fractures is a considerable problem. In this report, we presented how to drill or screw around the posterior column and ischium from the anterior approach using a novel 'sleeve guide technique' and the difficulty of plating. A sleeve, drill, depth gauge and driver from DepuySynthes were prepared. The portal was about 2-3 cm inside the anterior superior iliac spine opposite to the side of the fracture. The sleeve was inserted to the screw point around quadrilateral area through the retroperitoneal space. Drilling, measuring screw length by a depth gauge and the screwing were performed through the sleeve. Case 1 used a one-third plate and case 2 used a reconstruction plate. With this technique, the approach angles to the posterior column and ischium were inclined, and plating and screw insertion could be performed with a low risk of organ injury | ||
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700 | 1 | |a Miyamura, Gaku |e verfasserin |4 aut | |
700 | 1 | |a Suzuki, Yoshiaki |e verfasserin |4 aut | |
700 | 1 | |a Makino, Yoshinori |e verfasserin |4 aut | |
700 | 1 | |a Takada, Naoya |e verfasserin |4 aut | |
700 | 1 | |a Satonaka, Haruhiko |e verfasserin |4 aut | |
700 | 1 | |a Yoshida, Kakunoshin |e verfasserin |4 aut | |
700 | 1 | |a Hagi, Tomohito |e verfasserin |4 aut | |
700 | 1 | |a Nakamura, Tomoki |e verfasserin |4 aut | |
700 | 1 | |a Sudo, Akihiro |e verfasserin |4 aut | |
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