Percutaneous Fixation with Screws in Fractures of the Pelvic and Acetabulum

Authors

  • Nieto Lucio Leonel Head of Service of the Hip, Pelvic and Acetabulum, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico Author
  • Camacho González Sind Associate Physician of Service to the Hip, Pelvic and Acetabulum, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico Author
  • Zarate Ayup Zamir Alejandro Fellowship Hip, Pelvic and Acetabulum Surgery, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico Author

DOI:

https://doi.org/10.47363/JCIR/2023(2)109

Keywords:

Acetabulum, Percutaneous Fixation, Screws in Fractures

Abstract

Background: Percutaneous fixation offers advantages over open reduction in fractures of the pelvis and acetabulum. The aim of this study is to describe the safety of percutaneous screw surgery in patients with pelvic and acetabulum fractures.

Methods: An observational, retrospective, longitudinal and descriptive study was performed. The records of adult patients with pelvic and acetabulum fractures with less than 3mm displacement, who underwent percutaneous surgery from 2009 to 2018 were reviewed. The mechanism of injury, associated injuries, type of fracture, days of in-hospital stay, in-hospital death, trans-surgical or post-surgical complications and degree of bone healing were studied.

Results: 531 patients were recorded, 454 met the inclusion criteria. The average age was 41.7, the mechanism of high energy injury had a higher prevalence, 52% of patients had some associated injury, the most frequent being fractures in pelvic limbs. The most common fracture was type A061B2 fracture at 38.1%. The average in-hospital stay was 10.7 days. 15 patients (3.3%) had some complication, the main one being mal positioning of the osteosynthesis material. Two patients died in-hospital due to associated injuries. 100% of the patients presented bone consolidation grade 3-4 in the Montoya classification.

Conclusions: Percutaneous surgery in pelvis and acetabulum fractures is a safe surgical procedure, since it is associated with low in-hospital mortality, has a low percentage of complications, decreases in-hospital stay and has a high rate of bone consolidation. It is a procedure that requires special training and a long learning curve.

Author Biographies

  • Nieto Lucio Leonel, Head of Service of the Hip, Pelvic and Acetabulum, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico

    Head of Service of the Hip, Pelvic and Acetabulum, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico

  • Camacho González Sind, Associate Physician of Service to the Hip, Pelvic and Acetabulum, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico

    Associate Physician of Service to the Hip, Pelvic and Acetabulum, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico

  • Zarate Ayup Zamir Alejandro, Fellowship Hip, Pelvic and Acetabulum Surgery, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico

    Fellowship Hip, Pelvic and Acetabulum Surgery, Traumatology Hospital, UMAE “Dr. Victorio de la Fuente Narváez, IMSS Mexico

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Published

2023-04-26

Issue

Vol. 2 No. 1 (2023): Volume 2 Issue 1

Section

Articles