Intraoperative fluoroscopy to evaluate fracture reduction and hardware placement during acetabular surgery

Brent L. Norris, David H. Hahn, Michael J. Bosse, James F. Kellam, Stephen H. Sims

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Objectives: To evaluate use of intraoperative fluoroscopy during acetabular surgery to determine fracture reduction and accurate placement of screws. Design: Retrospective. Setting: Level I trauma center. Participants: Thirty patients with thirty-two acetabular fractures. Intervention: Patients were evaluated with fluoroscopy during surgery to assess fracture reduction and screw placement. Anterior-posterior (AP), oblique, and lateral pelvic fluoroscopic images were obtained intraoperatively. Postoperative radiographs were used to verify fluoroscopic findings; computed tomography (CT) scans were used as the control to assess intra-articular screw placement. Main Outcome Measurements: Radiographic and clinical assessment of fracture reduction and screw placement. Results: Intraoperative fluoroscopy confirmed the extra-articular position of all screws evaluated. Postoperative CT scans confirmed the extra-articular placement of all screws assessed by fluoroscopy. Quality of reduction using intraoperative fluoroscopic images had a 100 percent correlation with reduction on final radiographs. One patient, with two screws placed without fluoroscopic evaluation, had intra-articular placement requiring revision surgery. Conclusions: Intraoperative fluoroscopy is effective in evaluating both acetabular fracture reduction and hardware placement.

Original languageEnglish
Pages (from-to)414-417
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume13
Issue number6
DOIs
StatePublished - 1 Aug 1999
Externally publishedYes

Fingerprint

Fracture Fixation
Fluoroscopy
Joints
Tomography
Trauma Centers
Reoperation

Keywords

  • Acetabular surgery
  • Intra-articular screw placement
  • Intraoperative fluoroscopy

Cite this

Norris, Brent L. ; Hahn, David H. ; Bosse, Michael J. ; Kellam, James F. ; Sims, Stephen H. / Intraoperative fluoroscopy to evaluate fracture reduction and hardware placement during acetabular surgery. In: Journal of Orthopaedic Trauma. 1999 ; Vol. 13, No. 6. pp. 414-417.
@article{629029e91a3b4f5883cc48b3454ef79f,
title = "Intraoperative fluoroscopy to evaluate fracture reduction and hardware placement during acetabular surgery",
abstract = "Objectives: To evaluate use of intraoperative fluoroscopy during acetabular surgery to determine fracture reduction and accurate placement of screws. Design: Retrospective. Setting: Level I trauma center. Participants: Thirty patients with thirty-two acetabular fractures. Intervention: Patients were evaluated with fluoroscopy during surgery to assess fracture reduction and screw placement. Anterior-posterior (AP), oblique, and lateral pelvic fluoroscopic images were obtained intraoperatively. Postoperative radiographs were used to verify fluoroscopic findings; computed tomography (CT) scans were used as the control to assess intra-articular screw placement. Main Outcome Measurements: Radiographic and clinical assessment of fracture reduction and screw placement. Results: Intraoperative fluoroscopy confirmed the extra-articular position of all screws evaluated. Postoperative CT scans confirmed the extra-articular placement of all screws assessed by fluoroscopy. Quality of reduction using intraoperative fluoroscopic images had a 100 percent correlation with reduction on final radiographs. One patient, with two screws placed without fluoroscopic evaluation, had intra-articular placement requiring revision surgery. Conclusions: Intraoperative fluoroscopy is effective in evaluating both acetabular fracture reduction and hardware placement.",
keywords = "Acetabular surgery, Intra-articular screw placement, Intraoperative fluoroscopy",
author = "Norris, {Brent L.} and Hahn, {David H.} and Bosse, {Michael J.} and Kellam, {James F.} and Sims, {Stephen H.}",
year = "1999",
month = "8",
day = "1",
doi = "10.1097/00005131-199908000-00004",
language = "English",
volume = "13",
pages = "414--417",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins Ltd.",
number = "6",

}

Intraoperative fluoroscopy to evaluate fracture reduction and hardware placement during acetabular surgery. / Norris, Brent L.; Hahn, David H.; Bosse, Michael J.; Kellam, James F.; Sims, Stephen H.

In: Journal of Orthopaedic Trauma, Vol. 13, No. 6, 01.08.1999, p. 414-417.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Intraoperative fluoroscopy to evaluate fracture reduction and hardware placement during acetabular surgery

AU - Norris, Brent L.

AU - Hahn, David H.

AU - Bosse, Michael J.

AU - Kellam, James F.

AU - Sims, Stephen H.

PY - 1999/8/1

Y1 - 1999/8/1

N2 - Objectives: To evaluate use of intraoperative fluoroscopy during acetabular surgery to determine fracture reduction and accurate placement of screws. Design: Retrospective. Setting: Level I trauma center. Participants: Thirty patients with thirty-two acetabular fractures. Intervention: Patients were evaluated with fluoroscopy during surgery to assess fracture reduction and screw placement. Anterior-posterior (AP), oblique, and lateral pelvic fluoroscopic images were obtained intraoperatively. Postoperative radiographs were used to verify fluoroscopic findings; computed tomography (CT) scans were used as the control to assess intra-articular screw placement. Main Outcome Measurements: Radiographic and clinical assessment of fracture reduction and screw placement. Results: Intraoperative fluoroscopy confirmed the extra-articular position of all screws evaluated. Postoperative CT scans confirmed the extra-articular placement of all screws assessed by fluoroscopy. Quality of reduction using intraoperative fluoroscopic images had a 100 percent correlation with reduction on final radiographs. One patient, with two screws placed without fluoroscopic evaluation, had intra-articular placement requiring revision surgery. Conclusions: Intraoperative fluoroscopy is effective in evaluating both acetabular fracture reduction and hardware placement.

AB - Objectives: To evaluate use of intraoperative fluoroscopy during acetabular surgery to determine fracture reduction and accurate placement of screws. Design: Retrospective. Setting: Level I trauma center. Participants: Thirty patients with thirty-two acetabular fractures. Intervention: Patients were evaluated with fluoroscopy during surgery to assess fracture reduction and screw placement. Anterior-posterior (AP), oblique, and lateral pelvic fluoroscopic images were obtained intraoperatively. Postoperative radiographs were used to verify fluoroscopic findings; computed tomography (CT) scans were used as the control to assess intra-articular screw placement. Main Outcome Measurements: Radiographic and clinical assessment of fracture reduction and screw placement. Results: Intraoperative fluoroscopy confirmed the extra-articular position of all screws evaluated. Postoperative CT scans confirmed the extra-articular placement of all screws assessed by fluoroscopy. Quality of reduction using intraoperative fluoroscopic images had a 100 percent correlation with reduction on final radiographs. One patient, with two screws placed without fluoroscopic evaluation, had intra-articular placement requiring revision surgery. Conclusions: Intraoperative fluoroscopy is effective in evaluating both acetabular fracture reduction and hardware placement.

KW - Acetabular surgery

KW - Intra-articular screw placement

KW - Intraoperative fluoroscopy

UR - http://www.scopus.com/inward/record.url?scp=0033173517&partnerID=8YFLogxK

U2 - 10.1097/00005131-199908000-00004

DO - 10.1097/00005131-199908000-00004

M3 - Article

C2 - 10459600

AN - SCOPUS:0033173517

VL - 13

SP - 414

EP - 417

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

IS - 6

ER -