Anterior column screw fixation has been a useful tool in the management of acetabular fractures, either alone or in combination with other fixation techniques. Percutaneous insertion may be advantageous by limiting surgical dissection but little has been reported on its safety. The purpose of this study is to report on the efficacy and safety of percutaneous anterior column stabilization. In a consecutive series of 122 operatively treated acetabular fractures, 56 patients were treated with antegrade percutaneous anterior column stabilization either alone or in combination with other fixation techniques by a single surgeon (JY). The technique was selected when the anterior column portion of the fracture was undisplaced or could be reduced via indirect methods. Intraoperative fluoroscopy was used to guide the placement of either a 6.5 mm or 7.3 mm cannulated antegrade anterior column lag screw. Postoperative radiographs (anteroposterior and Judet views) were obtained in the recovery room, prior to discharge and at clinic follow up.Purpose
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