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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 2, 145-154.
doi: 10.1302/0301-620X.89B2.18551  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Percutaneous fixation of the pelvic ring

AN UPDATE

P. V. Giannoudis, BSc, MB, MD, EEC(Orth), Professor1; C. C. Tzioupis, MD, Trauma Fellow1; H.-C. Pape, MD, Professor2; and C. S. Roberts, MD, Professor3

1 Department of Orthopaedic and Trauma Surgery, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK.
2 Division Chief of Traumatology, Department of Orthopaedic Surgery, Pittsburgh General Hospital, Suite 911, Kaufmann Med. Building, 3471 Fifth Avenue, Pittsburgh, Pennsylvania, 15213, USA.
3 Department of Orthopaedic Surgery, University of Louisville School of Medicine, ACB, Third Floor Bridge, HSC 234, Louisville, Kentucky, 40292, USA.

Correspondence should be sent to Professor P. V. Giannoudis; e-mail: Pgiannoudi{at}aol.com

With the development of systems of trauma care the management of pelvic disruption has evolved and has become increasingly refined. The goal is to achieve an anatomical reduction and stable fixation of the fracture. This requires adequate visualisation for reduction of the fracture and the placement of fixation. Despite the advances in surgical approach and technique, the functional outcomes do not always produce the desired result. New methods of percutaneous treatment in conjunction with innovative computer-based imaging have evolved in an attempt to overcome the existing difficulties. This paper presents an overview of the technical aspects of percutaneous surgery of the pelvis and acetabulum.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General