Abstract
Aims: The objectives of this study are to determine the feasibility of the endoscopic þxation of the anterior pelvis. Material and Methods: Twenty adult cadavers were studied. A þve hole plate was introduced and þxed by balloon and C02 dilatation of the space of Retzius. After plating, the cadavers were dissected to analyze plate and screw position, and presence of damage on the surrounding tissues related to the procedure. Results: Plate and screws were seen to be in good position in all cases. No damage to vital structures was identiþed. Case Report: 33 y/o male sustained an open book external rotation AO/OTA type 61-B3.1 pelvic fracture. EFAP was performed successfully. Postoperative x rays showed good reduction and implants position. Discussion and conclusion: Open approaches to the anterior pelvis are not free of complications. Endoscopy allows clear visualization of the space of Retzius and it is a valuable aid for pelvis fracture þxation. Extraperitoneal endoscopy of the anterior pelvis is a safe and commonly performed surgical procedure. This paper shows that plate and screws þxation of the symphysis pubis can also be performed using this minimally invasive approach.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
