Clinical outcomes of percutaneous screw fixation of acetabular fracture: A minimally invasive procedure.

Autor:	Alsheikh KA; Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, KSA.; King Abdullah International Medical Research Center, Medical Research Core Facility and Platforms, Riyadh, KSA.; King Saud bin Abdulaziz University for Health Science, College of Medicine, Riyadh, KSA., Alzahrani AM; Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, KSA.; King Abdullah International Medical Research Center, Medical Research Core Facility and Platforms, Riyadh, KSA.; King Saud bin Abdulaziz University for Health Science, College of Medicine, Riyadh, KSA., Alshehri AS; Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, KSA.; King Abdullah International Medical Research Center, Medical Research Core Facility and Platforms, Riyadh, KSA., Alzahrani FA; Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, KSA.; King Abdullah International Medical Research Center, Medical Research Core Facility and Platforms, Riyadh, KSA., Alqahtani YS; Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, KSA.; King Abdullah International Medical Research Center, Medical Research Core Facility and Platforms, Riyadh, KSA., Alhumaidan MI; King Abdullah International Medical Research Center, Medical Research Core Facility and Platforms, Riyadh, KSA.; King Saud bin Abdulaziz University for Health Science, College of Medicine, Riyadh, KSA., Alangari HS; Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, KSA.; King Abdullah International Medical Research Center, Medical Research Core Facility and Platforms, Riyadh, KSA.; King Saud bin Abdulaziz University for Health Science, College of Medicine, Riyadh, KSA.
Jazyk:	angličtina
Zdroj:	Journal of Taibah University Medical Sciences [J Taibah Univ Med Sci] 2022 Oct 14; Vol. 18 (2), pp. 279-286. Date of Electronic Publication: 2022 Oct 14 (Print Publication: 2023).
DOI:	10.1016/j.jtumed.2022.09.015
Abstrakt:	Objective: Open reduction with internal fixation is the surgical intervention of choice for acetabular fractures (AFs). Percutaneous screw fixation for AFs is a new procedure that is desirable because of the complex anatomy of the pelvis. In this study, we aimed to assess the functional outcomes, mobility, healing, and distal neurovascular abnormalities in patients who underwent percutaneous retrograde screw fixation. Methods: Our study included 36 patients with AFs treated with percutaneous screw fixation between January 2016 and June 2021. There were 18 cases with anterior column AF, 7 cases with transverse AF, and 11 cases with associated AF, 6 of which had a T-shaped AF. Frequencies and percentages were used to describe characteristics and clinical outcomes. Mean and standard deviation were used for continuous variables. SPSS version 23 (IBM Corporation, Armonk, NY, USA) was used for statistical analysis. Results: The average time to regain full mobility with full weight bearing was 12.9 ± 5.4 weeks, and approximately 11.1 ± 2.8 weeks was required for patients to be pain-free with satisfactory fracture healing. Only a minority (8.3%) of patients had abnormalities affecting the distal neurovascular system, and 11.1% experienced sexual dysfunction. Pain severity was assessed with a visual analogue scale. The average pain severity on the first and third post-operative days was 4 ± 2.4 and 3.8 ± 2.6, respectively. However, the average pain intensity before discharge was 1.7 ± 2.6. Conclusion: Percutaneous screw fixation is the most efficient surgical choice for most pelvic/AFs. (© 2022 [The Author/The Authors].)
Databáze:	MEDLINE
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