Prospective study of percutaneous screw fixation of anterior column acetabulum under fluoroscopic guidance: Clinical and radiological evaluation

Abstract

The objective of this prospective study was to evaluate the clinical and radiological outcomes of percutaneous screw fixation of the anterior column acetabulum, guided by fluoroscopy. Methods: A prospective study was conducted on a cohort of patients with anterior column acetabular fractures who underwent percutaneous screw fixation. The procedure was performed under fluoroscopic guidance to ensure accurate screw placement. Clinical and radiological evaluations were conducted preoperatively, postoperatively, and during follow-up visits. Clinical evaluation included assessment of pain, functional outcomes, and complications. Radiological evaluation involved assessing the adequacy of fracture reduction, screw position, and subsequent bone healing. Results: A total of 21 patients with mean age of 41.71±13.16 were included in the study. Males were involved in 14 cases (66.7%) followed by 7 females (33.3%). Road traffic accidents accounts major proportion of affected individuals with 18 cases (85.7%) followed by fall from height accounting 3 cases (14.3%). The majority of patients had traumatic injuries due to high-energy impact. Maximum time duration required was 55 minutes and minimum time required was 15 minutes with average time accounting 25.6 minutes. In regular follow ups at 6 th month average score was 17, maximum patients i.e. 18 out of 21 were having excellent results followed by 2 patients having good results. Conclusion: Percutaneous screw fixation of the anterior column acetabulum under fluoroscopic guidance is a viable treatment option for anterior column acetabular fractures. It provides favorable clinical outcomes in terms of pain relief and functional improvement.