Department of Bone and Joint Surgery, ASST Spedali Civili, Piazzale Spedali Civili 1, 25123, Brescia, BS, Italy.
Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Viale Europa 11, 25123, Brescia, BS, Italy.
Arch Orthop Trauma Surg. 2023 Sep;143(9):5713-5717. doi: 10.1007/s00402-023-04939-2. Epub 2023 Jun 7.
Posterior column fractures are common acetabular injuries. Although displaced fractures require open reduction and fixation, undisplaced patterns may benefit from percutaneous screw fixation. The combination of iliac oblique with inlet and outlet views offers an intuitive and panoramic rendering of the bony corridor into the posterior column; lateral cross table view completes the sequence of fluoroscopic projections. Herein we describe the use of outlet/inlet iliac views and a detailed procedure for percutaneous retrograde posterior column screw fixation.
后柱骨折是常见的髋臼损伤。虽然移位骨折需要切开复位和固定,但未移位的骨折可能受益于经皮螺钉固定。髂斜位加入口和出口位可以直观地显示骨性通道进入后柱;侧位交叉位完成了透视投影序列。在此,我们描述了出口/入口髂斜位的使用和经皮逆行后柱螺钉固定的详细过程。