title: Modified Iliac Oblique-Outlet View: A Novel Radiographic Technique for Antegrade Anterior Column Screw Placement.
abstract: Percutaneous fixation of acetabular fractures can be challenging because of the complex anatomy of the anterior column. We have used a modified iliac oblique-outlet image view in conjunction with more traditional radiographic views to place antegrade anterior column screws. This technique does not replace the pelvic inlet but is a good alternative in the lateral decubitus position because it helps to mitigate the difficulties of obtaining the pelvic inlet radiograph in this position. The purpose of this study is to describe the radiographic technique, demonstrate proper and aberrant screw placement using Sawbones, and present a review of patients in which this technique was used in clinical practice.
authors.affiliation: *Department of Orthopedic Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN; and†University of Kansas School of Medicine Wichita, Wichita, KS.
authors.forename: Bryce A
authors.initials: BA
authors.lastname: Cunningham
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Ficco
authors.forename: Rachel E
authors.initials: RE
authors.lastname: Swafford
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Nowotarski
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging* / Q000293:injuries*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001175:Arthrography / Q000379:methods; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult