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KMID : 0386420230360020057
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Journal of the Korean Fracture Society
2023 Volume.36 No. 2 p.57 ~ p.61
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Single Percutaneous Retrograde Anterior Column Screw Fixation in a Minimally Displaced Transverse Acetabular Fracture - A Case Report -
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Shin Seung-Yup
Park Jin-Kyu
Lee Sung-Ho
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Abstract
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According to the Letournel classification, a transverse fracture is the only elementary fracture pattern that breaks both the anterior and posterior border of the innominate bone. A transverse acetabular fracture separates the innominate bone into two segments: the iliac segment and the ischiopubic segment. Therefore, minimally displaced transverse fractures can be stabilized by purchasing both segments with a large-diameter single screw. Although it is not a stable internal fixation construct compared with plates and screws, it provides sufficient stability to promote early mobilization and early weight-bearing while minimizing the risk of secondary displacement and preventing secondary complications associated with prolonged bed rest and immobilization. The authors successfully treated a case of minimally displaced transverse acetabular fracture with percutaneous column fixation using a retrograde fashion of a single anterior column screw. This report discusses the case with a literature review and deliberates the usefulness of the procedure.
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KEYWORD
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Acetabular fracture, Transverse acetabular fracture, Anterior column screw, Retrograde anterior column screw, Percutaneous fixation
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