Abstract
Percutaneous fluoroscopy-assisted fixation of acetabular fractures is not a widely used technique. Its advantage lies particularly in percutaneous placement of screws in the anterior column of the acetabulum.
The operative procedure is described and the first experience of the authors with this minimally invasive technique at their department is reported. Between December 2007 and April 2009, 10 fractures of the anterior column of the acetabulum were treated by percutaneous stabilisation in 10 patients.After the operative technique has been mastered, the minimally invasive method of osteosynthesis is likely to become a method of choice for certain kinds of acetabular fractures.
The current, most frequent indications are minimally displaced transverse fractures, T-shaped fractures and anterior column acetabular fractures. A limiting foactor of this technique is reduction.
It is certain taht further evolution of this tchnique and its more frequent use will be associated with computerised navigation.