Anatomic study of paths for transiliac screws in Galveston fixation.
- Author:
Yuan-liang SUN
1
;
Xi-guang SANG
;
Mu LI
;
Lei QI
;
Yu-hua LI
;
Lei ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Bone Screws; Female; Fracture Fixation, Internal; methods; Humans; Ilium; anatomy & histology; diagnostic imaging; surgery; Male; Radiography
- From: Chinese Journal of Surgery 2008;46(11):801-805
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo describe the satisfactory intra-iliac paths in Galveston fixation combined with adult human cadaver and radiology study.
METHODSFive adult cadavers with 10 hemisected pelvises were harvested. Parallelly to the Chiotic line, the bone every other 5 mm till the superior rim of the acetabulum (SRA) observing the morphologic characteristics of each cross-sections of the iliac columns was cut. Fifty consecutive and randomly selected patients were measured using three-dimensional computed tomographic reformations. Three paths' valid bony canal lengths (LVBC), contractions' inner widths and positions were evaluated.
RESULTSThe Path A with the longest LVBC (137 +/- 8) mm in male, (130 +/- 11) mm in female was the most satisfactory intra-iliac path according to both adult cadaver and radiographic measurement Path A and B allowed placement of 100 mm and 8 mm implants in male, 80 mm and 6 to 7 mm implants in female patients.
CONCLUSIONThe Path A, passing from the Click point towards the bottom of the anterior inferior iliac spine provides a longer and potentially safer anchor site compared with the traditional path.