Use of the iliac-outlet and iliac-inlet combined views in percutaneous posterior column retrograde screw fixation

Arch Orthop Trauma Surg. 2023 Sep;143(9):5713-5717. doi: 10.1007/s00402-023-04939-2. Epub 2023 Jun 7.

Abstract

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.

Keywords: Acetabular fracture; Fluoroscopic view; Percutaneous acetabular surgery; Percutaneous screw; Posterior column.

MeSH terms

  • Acetabulum / surgery
  • Bays
  • Bone Screws
  • Fracture Fixation, Internal* / methods
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Humans
  • Ilium / surgery