J Korean Fract Soc.  2023 Apr;36(2):57-61. 10.12671/jkfs.2023.36.2.57.

Single Percutaneous Retrograde Anterior Column Screw Fixation in a Minimally Displaced Transverse Acetabular Fracture - A Case Report -

• Shin S
• Park J
• Lee S

• KMID: 2541739
• DOI: http://doi.org/10.12671/jkfs.2023.36.2.57

Abstract

According to the Letournel classification, a transverse fracture is the only elementary fracture pattern that breaks both the anterior and posterior border of the innominate bone. A transverse acetabular fracture separates the innominate bone into two segments: the iliac segment and the ischiopubic segment. Therefore, minimally displaced transverse fractures can be stabilized by purchasing both segments with a large-diameter single screw. Although it is not a stable internal fixation construct compared with plates and screws, it provides sufficient stability to promote early mobilization and early weight-bearing while minimizing the risk of secondary displacement and preventing secondary complications associated with prolonged bed rest and immobilization. The authors successfully treated a case of minimally displaced transverse acetabular fracture with percutaneous column fixation using a retrograde fashion of a single anterior column screw. This report discusses the case with a literature review and deliberates the usefulness of the procedure.

Keyword

Acetabular fracture; Transverse acetabular fracture; Anterior column screw; Retrograde an- terior column screw; Percutaneous fixation