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The infraacetabular screw – anatomy, radiology, biomechanics and clinics

Authors: Gänsslen, Axel; Lindahl, Jan; Lindtner, Richard A.; Krappinger, Dietmar;

The infraacetabular screw – anatomy, radiology, biomechanics and clinics

Abstract

AbstractAcetabular fracture surgery follows the primary aim of anatomic reduction and rigid stable fixation of the fracture. Infraacetabular screws (IAS) allow for an increased stability of the acetabular fixation by closing the periacetabular fixation frame without requiring an additional posterior approach. The osseous screw corridor for infraacetabular screws use the transition zone between the acetabular ring and the obturator ring. The infraacetabular screw corridor (IAC) shows a double-cone shape with an isthmus located near the acetabular fovea. The iliopectineal eminence (IE) is mainly used as a clinical landmark for the intraoperative assessment of the entry point of IAS. The inlet view, the combined obturator oblique outlet view and a 1/3 iliac oblique outlet view may be used for the intraoperative radiological assessment for both the entry point and the screw trajectory of IAS. Several biomechanical studies have shown that IAS increase the stiffness of the internal fixation. Scientific proof for an improved clinical outcome is still missing.

Keywords

Acetabulum/surgery [MeSH] ; Infraacetabular screw ; Trauma Surgery ; Fracture Fixation, Internal/instrumentation [MeSH] ; Humans [MeSH] ; Biomechanical Phenomena [MeSH] ; Biomechanics ; Anatomy ; Bone Screws [MeSH] ; Acetabulum/diagnostic imaging [MeSH] ; Acetabulum/anatomy ; Acetabular fracture ; Fracture Fixation, Internal/methods [MeSH] ; Fractures, Bone/surgery [MeSH] ; Radiology ; Fractures, Bone/diagnostic imaging [MeSH], Trauma Surgery, Bone Screws, Surgery, anesthesiology, intensive care, radiology, Acetabulum, Biomechanical Phenomena, Infraacetabular screw, Fracture Fixation, Internal, Fractures, Bone, Humans, Biomechanics, Anatomy, Radiology, Acetabular fracture

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
hybrid
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