Department of Radiology, Centre Hospitalo-Universitaire de Nice, Hôpital Archet 2, 151, Rte Saint-Antoine de Ginestière, 06200 Nice, France.
AJR Am J Roentgenol. 2013 Feb;200(2):447-50. doi: 10.2214/AJR.11.7968.
The aim of this study was to evaluate CT- and fluoroscopy-guided percutaneous screw fixation by radiologists in the management of acetabular roof fractures.
Fifty-two consecutive adult patients with a nondisplaced and isolated acetabular roof fracture were prospectively treated by an interventional radiologist who made a percutaneous screw fixation under CT and fluoroscopy guidance. All these procedures were performed under local anesthesia. The postoperative follow-up ranged from 36 to 48 months.
For each patient, two 6.5-mm Asnis III screws were inserted to fix the roof acetabular fracture. The mean procedure time was 45 minutes (range, 30-90 minutes). No complications were observed. Follow-up CT showed evidence of fracture healing. No evidence of secondary displacement, degenerative changes, or screw failure was noted. Using the rating system of D'Aubigne and Postel, all patients had excellent results.
The results of our study showed that nondisplaced acetabular roof fractures could be successfully treated by a minimally invasive technique with an excellent long-term outcome.
本研究旨在评估放射科医生在经皮螺钉固定治疗髋臼顶骨折中的作用。
52 例连续的成人髋臼顶单纯无移位骨折患者，前瞻性地由介入放射科医生在 CT 和透视引导下进行经皮螺钉固定。所有这些手术均在局部麻醉下进行。术后随访时间为 36-48 个月。
对于每个患者，都插入了 2 枚 6.5mm 的 Asnis III 螺钉以固定髋臼顶骨折。平均手术时间为 45 分钟（范围 30-90 分钟）。无并发症发生。随访 CT 显示骨折愈合的证据。未发现继发性移位、退行性改变或螺钉失败的证据。使用 D'Aubigne 和 Postel 评分系统，所有患者均获得了优秀的结果。
我们的研究结果表明，对于无移位的髋臼顶骨折，可以采用微创技术进行成功治疗，并获得极好的长期效果。
