title: Percutaneous iliosacral screw placement using a radiolucent drive.
abstract: Percutaneous iliosacral screw placement is a standard stabilisation technique for pelvic fractures. It is a demanding operative technique. Various methods of guidance are currently available. We present a quick and simple fluoroscopy-guided technique using a radiolucent drive designed for distal locking of intramedullary nails. From January 2008 to December 2009, 27 screws were inserted using this technique in 21 patients with a pelvic fracture. The rate of incorrect placement was 11%. This technique does not require highly specialised equipment and is precise in determining both the entry point and drill track.
authors.affiliation: Department of Surgery, University Hospital Hradec Kralove, Czech Republic. frankmd@seznam.cz
authors.forename: Martin
authors.initials: M
authors.lastname: Frank
authors.forename: Tomas
authors.initials: T
authors.lastname: Dedek
mesh_terms: D001863:Bone Screws; D005260:Female; D005471:Fluoroscopy; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D016896:Treatment Outcome