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intramedullary fixation of the ilium, ischium and pubic bones and clearly identified the respective bone corridors where screws must be placed. Subsequently, the results of clinical applications of this technique were presented. 32 , 33 The approach for
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longitudinal incision in line with the fourth metatarsal. We perform a reduction from the medial to the lateral direction. We start by reducing the first cuneiform-metatarsal joint with K-wires and bone fixation with two non-cannulated 3.5-mm screws, from the
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reduction of each fragment should be performed with Kirschner (K-)wires, and definitive fixation can be accomplished with two or three screws. Sometimes there are smaller osteochondral fragments that can be fixed with mini-fragment screws, bioresorbable pins
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The time to definitive posterior arch fixation has decreased during the last decade ( 30 ). Nowadays, just after admission when a proper diagnosis is made, immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures produces
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Fluoroscopy images following intra- and extra-articular osteotomy and pre-drilling of the screw holes for later plate and screw fixation. Fig. 2f Post-operative fluoroscopy images and CT scans confirm good anatomical reduction. Case 3
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quality. Only when the bones are osteoporotic, the pins should be screwed a little more into the distal cortex and can even penetrate slightly through it, as this can increase the stability of the assembly. In 2019, Huang reported that on the fixation of a
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accuracy of the SI screws in the future. For severely displaced SI joint disruptions or sacral fractures, open reduction and internal fixation techniques (ORIF), either through anterior or posterior surgical approaches to the pelvis, are feasible
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University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark
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leg’s distal third, osteosynthetic treatment of the fibula remains controversial. Reasons to recommend fibular fixation are greater stability itself, improved rotational stability, and to prevent secondary valgus dislocation. However, the intervention
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severe instability of the occipital-atlantal joint complex (Horn grade II/Anderson/Montesano type 3). If an unstable atlas ring fracture with the need for surgical fixation shows a destroyed lateral mass, which makes screw insertion impossible
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to other fixation methods but further investigation is needed in order to draw conclusions ( 60 ). Controversially, Amarasooriya et al. suggest the cortical button with interference screw as fixation method with the lowest complication rate (1
