J Korean Orthop Assoc.  2021 Aug;56(4):361-365. 10.4055/jkoa.2021.56.4.361.

Percutaneous Screw Fixation in a Displaced Pubic Fracture: Technical Note

• Kong GM
• Kim SC

• KMID: 2519130
• DOI: http://doi.org/10.4055/jkoa.2021.56.4.361

Abstract

Pelvic fractures are high-energy injuries, often accompanied by damage to the adjacent tissues and organs. For patients with pelvic trauma, active treatment is required early in the injury, because mortality can increase if appropriate treatment is not provided. In most cases, however, minimally invasive surgery is considered because extensive surgery cannot be performed due to the patient's condition. Percutaneous fixation of the pubis has been introduced because it can be applied easily to achieve the stability of the anterior part of the pelvis. Although many studies introduced percutaneous fixation of pubic bone fractures, most describe screw fixation for nondisplaced fractures. When treating displaced fractures with percutaneous screw fixation, it is difficult for the guide pin or drill bit to avoid the joint surface. Using a bent guide pin could allow easy insertion of the cannulated screw while avoiding the articular surface.

Keyword

pubic ramus fracture; percutaneous fixation; retrograde transpubic screw