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The intrapelvic approach to the acetabulum.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedics and Traumatology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
The today well accepted intrapelvic approach for acetabular and pelvic ring injury fixation was first described by Hirvensalo and Lindahl in 1993 followed by a more detailed description by Cole and Bolhofner in 1994. Compared to the well-known ilioinguinal approach, described by Letournel, this approach allows an intrapelvic view to the medial acetabulum, while using the ilioinguinal approach a more superior, extrapelvic view, is dissected to the area of the acetabulum. Several names have been used to describe the new intrapelvic approach with increasing usage, mainly ilio-anterior approach, extended Pfannenstiel approach, Stoppa-approach, Rives-Stoppa approach, modified Stoppa approach and recently anterior intrapelvic approach.
View Article and Find Full Text PDFAcetabular Bone Cement Extension Leading to Bladder Obstruction: An Orthopedic Surgical Complication.
Cureus
September 2024
Department of Pathology, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Article Synopsis
- - Polymethyl methacrylate, or bone cement, is commonly used in surgeries for its strong adhesive qualities but can sometimes lead to complications like extrusion, which poses health risks.
- - An 86-year-old woman with several health issues presented with severe symptoms and was found to have bone cement extruding into her bladder after hip surgery, causing hydronephrosis and a urinary tract infection.
- - This case emphasizes the need for awareness of potential complications from hip replacement surgeries, even if they are typically asymptomatic in some patients.
Special contoured pelvic brim reconstruction titanium plate combined with trans-plate buttress screws (quadrilateral screws) for acetabular fractures with quadrilateral plate involvement through the anterior ilioinguinal approach.
Front Surg
September 2024
Department of Orthopedic Surgery, General Hospital of Central Theater Command, Wuhan, China.
Background: Managing complicated acetabular fractures involving the quadrilateral plate (QLP) can be challenging for surgeons, especially when complicated by comminution and osteoporosis. Traditional implants do not provide sufficient fixed strength or a proper match. The new-type pre-contoured infrapectineal buttress plates may have drawbacks, such as inaccurate fitting on the medial surface of QLP and an inability to apply reversed compression force to resist medial displacement of femoral head.
View Article and Find Full Text PDF[A clinical study of HoloSight Orthopaedic Trauma Surgery Robot-assisted infra-acetabular screw placement for acetabular fractures].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
June 2024
Department of Orthopadedic Surgery, the Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, P. R. China.
Objective: To investigate the effectiveness of HoloSight Orthopaedic Trauma Surgery Robot-assisted infra-acetabular screw placement for treatment of acetabular fractures.
Methods: The clinical data of 23 patients with acetabular fractures treated with open reduction and internal fixation and infra-acetabular screw placement in two medical centers between June 2022 and October 2023 were retrospectively analyzed. According to the the method of infra-acetabular screw placement, the patients were divided into navigation group (10 cases, using HoloSight Orthopaedic Trauma Surgery Robot-assisted screw placement) and freehand group (13 cases, using traditional X-ray fluoroscopy to guide screw placement).
Robotic-assisted plate fixation of the anterior acetabulum - clinical description of a new technique.
J Orthop Surg Res
April 2024
Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Introduction: We present a detailed procedure for the robotic-assisted plate osteosynthesis of an anterior acetabular fracture. The purpose of this work was to describe a robotic-assisted minimally invasive technique as a possible method for reducing complications, pain, and hospitalization. Another goal was to present technical recommendations and to assess potential pitfalls and problems of the new surgical approach.
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