Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (10): 17-26.doi: 10.6040/j.issn.1671-7554.0.2022.0415

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A new method of trajectory screw placement for pelvis and acetabulum

TIAN Jiguang, WANG Zhiyong, CHENG Lin, SANG Xiguang   

  1. Department of Emergency Surgery &
    Traumatic Orthopaedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2022-09-30

Abstract: Objective To develop a new method of percutaneous screw fixation for pelvis and acetabulum. Based on this method, a device was designed and human specimens were studied to evaluate the efficacy of screw fixation. Methods Based on CT data, this study adopted projection and direction decomposition to accurately locate the screw entry point and entry direction, and designed a set of special location frame. Before surgery, the location frame was fixed to the human specimen pelvis and CT scan was performed to obtain data. The screw path was planned using CT analysis software, and then the required positioning parameters were measured with direction decomposition. Then the screw path was located with the help of the location frame during operation. Results The sacroiliac, LC II and anterograde anterior column screws were successfully inserted by the above method. CT scanning showed postoperative screw paths were highly consistent to the preoperative designed ones, and met the clinical criteria well. Conclusion This new method provides an accurate, convenient, rapid and cost-effective way for pelvis and acetabulum percutaneous screw fixation, and is recommended for clinic application.

Key words: Direction decomposition, Projection, Percutaneous screw, Pelvis fracture, Acetabulum fracture

CLC Number: 

  • R574
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