Archives of Orthopaedic and Trauma Surgery

, Volume 133, Issue 7, pp 883–887 | Cite as

Intraosseous correction of misdirected cannulated screws and fracture malalignment using a bent tip 2.0 mm guidewire: technique and indications

  • John A. ScolaroEmail author
  • Milton Lee (Chip) Routt
Orthopaedic Surgery


Percutaneous pelvic screw placement is a technically demanding procedure. A precise intraosseous pathway must be prepared before screw placement into any osseous fixation pathway of the pelvis. Adjustments to a drill or guidewire become increasingly difficult as the instrument is advanced within the pelvis. We present a reliable and reproducible technique using a 2.0 mm guidewire that allows for correction of an initially misdirected drill within the pelvis. This technique also allows for manipulation and reduction of certain malaligned pelvic fractures prior to percutaneous cannulated screw placement. This technique does not substitute for poor surgical technique but is used to optimize the position of percutaneously placed pelvic screws.


Pelvis Percutaneous Cannulated screws Intraosseous fixation pathway 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Orthopaedics and Sports Medicine, Harborview Medical CenterUniversity of WashingtonSeattleUSA

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