Percutaneous iliosacral screw placement using a radiolucent drive
Frank, M.; Dedek, T.
Acta Orthopaedica Belgica 78(4): 519-522
2012
ISSN/ISBN: 0001-6462 PMID: 23019786 Document Number: 662318
Percutaneous iliosacral screw placement is a standard stabilisation technique for pelvic fractures. It is a demanding operative technique. Various methods of guidance are currently available. We present a quick and simple fluoroscopy-guided technique using a radiolucent drive designed for distal locking of intramedullary nails. From January 2008 to December 2009, 27 screws were inserted using this technique in 21 patients with a pelvic fracture. The rate of incorrect placement was 11%. This technique does not require highly specialised equipment and is precise in determining both the entry point and drill track.