The "Metaizeau trick" to facilitate medullary pubic ramus screw insertion: A technical note.

Autor: David G; Service de chirurgie orthopédique et traumatologie, CHU d'Angers, Angers, France., Rony L; Service de chirurgie orthopédique et traumatologie, CHU d'Angers, Angers, France., Moullac D; Service de chirurgie orthopédique et traumatologie, CHRU de Brest, boulevard Tanguy-Prigent, Brest, France., Letissier H; Service de chirurgie orthopédique et traumatologie, CHRU de Brest, boulevard Tanguy-Prigent, Brest, France., Di Francia R; Service de chirurgie orthopédique et traumatologie, CHRU de Brest, boulevard Tanguy-Prigent, Brest, France. Electronic address: remi.difrancia.pro@gmail.com.
Jazyk: angličtina
Zdroj: Orthopaedics & traumatology, surgery & research : OTSR [Orthop Traumatol Surg Res] 2024 Sep; Vol. 110 (5), pp. 103879. Date of Electronic Publication: 2024 Apr 03.
DOI: 10.1016/j.otsr.2024.103879
Abstrakt: Minimally invasive procedures have recently seen an increase in the treatment of pelvic ring disruptions and select acetabular fractures. Similar to ilio-sacral screws, the superior pubic ramus screw is becoming a preferred method for treating unstable pelvic ring fractures. While the osteology of the superior pubic ramus is well understood and has inherent variability, standard screw insertion techniques work effectively in most cases. If the anatomy prevents the standard approach, there are alternative methods that can be employed for successful screw placement, or there might be a need for an open reduction and internal fixation with plates. Such techniques can be material-intensive and time-consuming. In this paper, we introduce a straightforward method that utilizes the Metaizeau nail as a guide wire to facilitate screw insertion in most instances, termed the "Metaizeau trick". Metaizeau nails, commonly found in trauma centers, are designed to locate a pathway effortlessly using this method. LEVEL OF EVIDENCE: IV.
(Copyright © 2024 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: