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Screws in Pelvic-Acetabular Fracture Fixation

Handbook of Orthopaedic Trauma Implantology

Abstract

Screw fixation is used commonly in the treatment of pelvic and acetabular fractures. Cannulated screws and fluoroscopic imaging have contributed to improved accuracy of screw placement. A thorough understanding of anatomically safe fixation corridors in the pelvis is critical. Preoperative planning should include a reduction strategy and identification of anatomic variants that may limit safe corridors.

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References

  1. Routt MLC, Kregor PJ, Simonian PT, Mayo KA. Early results with percutaneous iliosacral screws placed with patient in the supine position. J Orthop Trauma. 1995;9:207–14.

    Article  Google Scholar 

  2. Routt MLC, Simonian PT, Grujic L. The retrograde medullary superior pubic rami screw for the treatment of anterior pelvic ring disruptions: a new technique. J Orthop Trauma. 1995;9:35–44.

    Article  Google Scholar 

  3. Thakur AJ. The elements of fracture fixation. 3rd ed. New Delhi: Elsevier. Chapter 3: Bone Screw; 2015. p. 64–106.

    Google Scholar 

  4. Chapman JR, Harrington RM, Lee KM, Anderson PA, Tencer AF, Kowalski D. Factors affecting the pull-out strength of cancellous bone screws. J Biomech Eng. 1996;118(3):391–8.

    Article  CAS  Google Scholar 

  5. Koranyi E, Bowman CE, Knecht CD, Janssen M. Holding power of orthopaedic screws in bone. Clin Orthop Relat Res. 1970;72:283–6.

    CAS  PubMed  Google Scholar 

  6. DeCoster TA, Heetderks DB, Downey DJ, Ferries JS, Jones W. Optimizing bone screw pull-out force. J Orthop Trauma. 1990;4(2):169–74.

    Article  CAS  Google Scholar 

  7. Gausepohl T, Möhring R, Pennig D, Koebke J. Fine thread versus coarse thread. Injury. 2001;32:1–7.

    Article  Google Scholar 

  8. Hughes AN, Jordan BA. The mechanical properties of surgical bone screws and some aspects of insertion practice. Injury. 1972;4(1):25–38.

    Article  CAS  Google Scholar 

  9. Daum WJ, Tencer AF, Cartwright TJ, Simmons DJ, Woodard PL, Koulisis CW. Pull-out strengths of bone screws at various sites about the pelvis – a preliminary study. J Orthop Trauma. 1988;2(3):229–33.

    Article  CAS  Google Scholar 

  10. Schatzker J, Sanderson R, Murnaghan JP. The holding power of orthopedic screws in vivo. Clin Orthop Relat Res. 1975;108:115–26.

    Article  Google Scholar 

  11. Bishop JA, Routt MLC. Osseous fixation pathways in pelvic and acetabular fracture surgery. J Trauma Acute Care Surg. 2012;72(6):1502–9.

    Article  Google Scholar 

  12. Lucas JF, Routt ML. Eastman JG; a useful preoperative planning technique for Transiliac-Transsacral screws. J Orthop Trauma. 2017;31(1):e25–31.

    Article  Google Scholar 

  13. Eastman JG, Routt MLC. Correlating preoperative imaging with intraoperative fluoroscopy in iliosacral screw placement. J Orthopaed Traumatol. 2015;16:309–16.

    Article  Google Scholar 

  14. Yinger K, Scalise J, Olson SA, Bay BK, Finkemeier CG. Biomechanical comparison of posterior pelvic ring fixation. J Orthop Trauma. 2003;7:481–7.

    Article  Google Scholar 

  15. Griffin DR, Starr AJ, Reinert CM, Jones AL, Whitlock S. Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure. J Orthop Trauma. 2003;17(6):399–405.

    Article  Google Scholar 

  16. Kraemer W, Hearn T, Tile M, Powell J. The effect of the thread length and location on extraction strength of iliosacral screws. Injury. 1994;25:5–9.

    Article  CAS  Google Scholar 

  17. Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field T, Spencer CW. A biomechanical study of intrapendicular screw fixation in the lumbosacral spine. Clin Orthop Rel Res. 1986;203:99–112.

    Google Scholar 

  18. Chapman JR, Harrington RM, Lee KM, Anderson PA, Tencer AF, Kowalski D. Factors affecting the pull-out strength of cancellous bone screws. J Biomech Eng. 1996;118:391–8.

    Article  CAS  Google Scholar 

  19. Reilly MC, Bono CM, Litkouhi B, Sirkin M, Behrens FF. The effect of sacral fracture malreduction on the safe placement of iliosacral screws. J Orthop Trauma. 2006;20:S37–43.

    Article  Google Scholar 

  20. Helfet DL, Bartlett CS III. Acetabular fractures: evaluation/classification/treatment concepts and approaches. In: Ruedi TP, Murphy WM, editors. AO principles of fracture management. 1st ed. Stuttgart/New York: Thieme; 2000. p. 415–38.

    Google Scholar 

  21. Starr AJ, Reinert CM, Jones AL. Percutaneous fixation of the columns of the acetabulum: a new technique. J Orthop Trauma. 1998;12(1):51–8.

    Article  CAS  Google Scholar 

  22. Mouhsine E, Garofalo R, Borens O, Wettstein M, Blanc C-H, Fischer J-F, et al. Percutaneous retrograde screwing for stabilisation of acetabular fractures. Injury. 2005;36(11):1330–6.

    Article  CAS  Google Scholar 

  23. Azzam K, Siebler J, Bergmann K, Daccarett M, Mormino M. Percutaneous retrograde posterior column acetabular fixation: is the sciatic nerve safe? A cadaveric study. J Orthop Trauma. 2014;28(1):37–40.

    Article  Google Scholar 

  24. Wright RD, Hamilton DA, Moghadamian ES, Bruce BT, Selby JB. Use of the obturator-outlet oblique view to guide percutaneous retrograde posterior column screw placement. J Orthop Trauma. 2013;27(6):e141–3.

    Article  Google Scholar 

  25. Giannoudis PV, Tzioupis CC, Pape H-C, Roberts CS. Percutaneous fixation of the pelvic ring: an update. J Bone Joint Surg Br. 2007;89(2):145–54.

    Article  CAS  Google Scholar 

  26. Caviglia H, Mejail A, Landro ME, Vatani N. Percutaneous fixation of acetabular fractures. EFORT Open Rev. 2018;3(5):326–34.

    Article  Google Scholar 

  27. Routt ML, Kregor PJ, Simonian PT, Mayo KA. Early results of percutaneous iliosacral screws placed with the patient in the supine position. J Orthop Trauma. 1995;9(3):207–14.

    Article  Google Scholar 

  28. Routt MLC, Simonian PT, Grujic L. Preliminary report: the retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions: a new technique. J Orthop Trauma. 1995;9(1):35–44.

    Article  Google Scholar 

  29. Mosheiff R, Liebergall M. Maneuvering the retrograde medullary screw in pubic ramus fractures. J Orthop Trauma. 2002;16(8):594–6.

    Article  Google Scholar 

  30. Wong JM-L, Bewsher S, Yew J, Bucknill A, de Steiger R. Fluoroscopically assisted computer navigation enables accurate percutaneous screw placement for pelvic and acetabular fracture fixation. Injury. 2015;46(6):1064–8.

    Article  Google Scholar 

  31. Stevenson AJ, Swartman B, Bucknill AT. Percutaneous internal fixation of pelvic fractures. German version. Unfallchirurg. 2016;119(10):825–34.

    Article  CAS  Google Scholar 

  32. Bishop JA, Routt MLC. Osseous fixation pathways in pelvic and acetabular fracture surgery: osteology, radiology, and clinical applications. J Trauma Acute Care Surg. 2012;72(6):1502–9.

    Article  Google Scholar 

  33. Sen RK, Tripathy SK, Aggarwal S, Goyal T, Meena DS, Mahapatra S. A safe technique of anterior column lag screw fixation in acetabular fractures. Int Orthop. 2012;36(11):2333–40.

    Article  Google Scholar 

  34. Trikha V, Gupta H. Current management of pelvic fractures. J Clin Orthop Trauma. 2011;2(1):12–8.

    Article  Google Scholar 

  35. Iorio JA, Jakoi AM, Rehman S. Percutaneous sacroiliac screw fixation of the posterior pelvic ring. Orthop Clin North Am. 2015;46(4):511–21.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Carolinas Medical Center, Atrium Musculoskeletal Institute, Charlotte, NC, USA

    Madhav Karunakar

  2. AIIMS Jodhpur, Jodhpur, Rajasthan, India

    Abhay Elhance

  3. Institute of Orthopaedic Surgery, Max Hospital Mohali, Mohali, Punjab, India

    Gaurav Saini

Authors
  1. Madhav Karunakar
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  2. Abhay Elhance
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  3. Gaurav Saini
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Corresponding author

Correspondence to Madhav Karunakar .

Editor information

Editors and Affiliations

  1. Narayana Health, West Bengal, India

    Arindam Banerjee

  2. Klinik u. Poliklinik für Unfallchirurgie, TU München Klinikum rechts der Isar, München, Bayern, Germany

    Peter Biberthaler

  3. Department of Orthopedics, Apollo Hospital Muscat, Muscat, Oman

    Saseendar Shanmugasundaram

Section Editor information

  1. Institute of Orthopaedic Surgery, Max Hospital, Mohali, Punjab, India

    Ramesh K Sen

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Karunakar, M., Elhance, A., Saini, G. (2021). Screws in Pelvic-Acetabular Fracture Fixation. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-15-6278-5_93-1

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  • DOI: https://doi.org/10.1007/978-981-15-6278-5_93-1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-6278-5

  • Online ISBN: 978-981-15-6278-5

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Chapter history

  1. Latest

    Screws in Pelvic-Acetabular Fracture Fixation
    Published:
    24 June 2023

    DOI: https://doi.org/10.1007/978-981-15-6278-5_93-2

  2. Original

    Screws in Pelvic-Acetabular Fracture Fixation
    Published:
    28 July 2021

    DOI: https://doi.org/10.1007/978-981-15-6278-5_93-1

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