Aims: To investigate the use of PCS fixation for acetabular fractures
including indications, preoperative planning, operative technique, and
complications during the study period.
Setting and design; Retrospectively we used PCS for fixations of several types
of acetabular fractures either nondisplaced, minimally displaced guided by
fluoroscopy.
Patients and methods; The study included 20 patients after obtaining informed
consent who underwent acetabular fixation by anterior column, posterior
column, supra-acetabular screws, combination of all and combination of plate
and screw between June 2015 and June 2018.
Statistical analysis used: The software for statistical package for social
sciences for windows 10 was used for all statistical calculations. Each
variable was tested for its normal value using the Mann-Whitney Test
and exact P values were calculated. Significance was set at the P value
of less than 0.05 level.
Results; All cases had good to excellent functional results according to
the modified Merle d’Aubigné Hip Score. We managed to mobilize all
patients out of bed from the 2nd day of surgery and to avoid a 2nd
approach for transverse fractures by the screw.
Conclusion: Our results show that PCS under fluoroscopic control is a
safe technique to treat some pattern of acetabular fractures and with
some tips and tricks surgical and fluoroscopy time can be minimized.
|
