Erschienen in:
01.05.2013 | Trauma Surgery
Percutaneous navigated screw fixation of glenoid fractures
verfasst von:
Florian Gras, Ivan Marintschev, Matthias Aurich, Sascha Rausch, Kajetan Klos, Gunther O. Hofmann
Erschienen in:
Archives of Orthopaedic and Trauma Surgery
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Ausgabe 5/2013
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Abstract
Background
Open or percutaneous arthroscopic-based procedures are reported to fix unstable or displaced intra-articular glenoid fractures. Approach related morbidity has to be considered for open procedures, and arthroscopic-based procedures are demanding. Therefore an alternative percutaneous navigated approach is described.
Technical procedure
In an experimental setting an operative workflow was simulated to evaluate the best position of the patient on the operation table, the operating room set up and the fixation technique for the dynamic reference base of the navigation system. Based on two clinical cases, screw fixation of glenoid fractures via a posterior percutaneous approach is described, using a 2D-fluoroscopic based navigation system. Compared to the common approaches, the advantages and disadvantages of this procedure are discussed.
Conclusion
The described technique of percutaneous navigated screw fixation of glenoid fractures is an alternative minimal invasive procedure. A reduction of approach related morbidity and more rapid return to function could be expected. The intraoperative results and postoperative functional outcome of both cases are promising.