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Review
. 2023 Feb;126(2):89-99.
doi: 10.1007/s00113-022-01281-x. Epub 2023 Jan 16.

[Imaging examination procedures, navigation and minimally invasive procedures in acetabular surgery]

[Article in German]
Sven Märdian  1 , T Maleitzke  2   3   4 , M Niemann  2   3 , K Salmoukas  2 , U Stöckle  2
Affiliations
Review

[Imaging examination procedures, navigation and minimally invasive procedures in acetabular surgery]

[Article in German]
Sven Märdian et al. Unfallchirurgie (Heidelb). 2023 Feb.

Abstract
in English, German

Acetabular fractures still pose a special challenge even today. Considering the increasing case numbers, especially in the geriatric patient group, modern imaging examination procedures represent an essential pillar of the diagnostics. Especially in this vulnerable patient group, minimally invasive methods are necessary, which can be guaranteed by intraoperative navigation; however, the choice of surgical access and implants is also made based on the existing morphological characteristics of fractures, which highlights the importance of an imaging modality that is as detailed as possible. Last but not least, new developments concerning the surgical treatment of these injuries are also based on this. This article summarizes the current state of the techniques and the available literature.

Acetabulumfrakturen stellen bis heute eine besondere Herausforderung dar. Vor allem vor dem Hintergrund steigender Fallzahlen insbesondere in der geriatrischen Patientengruppe sind moderne bildgebende Untersuchungsverfahren ein wesentlicher Pfeiler. Gerade in dieser vulnerablen Patientengruppe sind minimal-invasivere Methoden notwendig; diese können durch eine intraoperative Navigation gewährleistet werden. Die Wahl des operativen Zugangs und der Implantate wird auf dem Boden der vorliegenden Frakturmorphologie getroffen, was die Bedeutung einer möglichst detaillierten Modalität des bildgebenden Untersuchungsverfahrens verdeutlicht. Nicht zuletzt darauf basieren auch neue Entwicklungen hinsichtlich der operativen Versorgung dieser Verletzungen. Diese Arbeit fasst den aktuellen Stand der Technik und vorhandenen Literatur dahingehend zusammen.

Keywords: Bone screws; Diagnostic techniques and procedures; Intraoperative care; Minimal access surgical procedures; Surgery, computer-assisted.

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References

Literatur

    1. Letournel E (1961) Fractures of the cotyloid cavity, study of a series of 75 cases. J Chir (Paris) 82:47–87
    1. Judet R, Judet J, Letournel E (1964) Fractures of the acetabulum: classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg Am 46:1615–1646 - DOI
    1. Matta JM, Tornetta P 3rd (1996) Internal fixation of unstable pelvic ring injuries. Clin Orthop Relat Res 329:129–140 - DOI
    1. Audretsch C et al (2022) Evaluation of decision-making in the treatment of acetabular fractures. EFORT Open Rev 7(1):84–94 - DOI
    1. Ochs BG et al (2010) Changes in the treatment of acetabular fractures over 15 years: analysis of 1266 cases treated by the German pelvic multicentre study group (DAO/DGU). Injury 41(8):839–851 - DOI

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