Percutaneous iliosacral screw placement using a radiolucent drive

Published online: Aug 27 2012

Martin FRANK, Tomas DEDEK

From the University Hospital Hradec Kralove, Czech republic


Percutaneous iliosacral screw placement is a standard stabilisation technique for pelvic fractures. It is a demanding operative technique. Various methods of guidance are currently available. We present a quick and simple fluoroscopy-guided technique using a radiolucent drive designed for distal locking of intramedullary nails. From January 2008 to December 2009, 27 screws were inserted using this technique in 21 patients with a pelvic fracture. The rate of incorrect placement was 11%. This technique does not require highly specialised equipment and is precise in determining both the entry point and drill track.