Before closure of triradiate cartilage (14 in boys and 12 in girls), pelvic bones are weaker than pelvic ligaments leading to more pubic rami and iliac wing fractures. After closure, they are more likely to sustain fractures of acetabulum, diastasis of pubic symphysis and SI joint separation. Hence, a pediatric…
Tag: Pelvi-acetabulum surgery
Fellowship Blog
Retrograde Percutaneous Screw Fixation of Posterior Column Acetabulum Fracture : C-Arm Views & Technique
Today in the OR, I observed a retrograde percutaneous screw fixation of a left posterior column acetabular fracture in a 63-year-old male. While I wasn’t scrubbed in, it offered a fantastic opportunity to understand the precision and fluoroscopic guidance required for this minimally invasive approach. It is often said that, “Percutaneous fixation is a surgery performed…
Surgical Skills
S1 Iliosacral screw (ISS) fixation : Technique
Indications Entry point Anterior in S1 body and inferior to the overlapping iliac cortical density (ICDs) in true lateral projection Trajectory Dangers
Fellowship Blog
Approach to Pelvic Ring Injury Classification
Introduction Existing Young-Burgess (YB), Tile & AO/OTA classification systems for pelvic ring fractures demonstrate inconsistent and often only fair-to-moderate inter-observer reliability (kappa = 0.30–0.79), creating diagnostic variability that can impact treatment planning and communication among orthopedicians.1 A clear, stepwise, unified algorithm could improve trainee education, standardize radiographic interpretation, and aid…
Fellowship Blog
A THR After Acetabular ORIF and the 9 Intraoperative Tests That Matter
Today was one of those surgeries that stays with you not just for the technical challenge, but for what it teaches you as a growing orthopedic surgeon. Our patient was a 30-year-old male with painful AVN of the femoral head, years after an acetabular fracture that had been treated with…
Fellowship Blog
First Cuts, First Concerns: Avoiding the Sciatic Trap
Dated: July 15, 2025 So here we go – not quite Day 1, but definitely the beginning of something new. With two weeks of overlap before the official August 1 start, I reached B&B Hospital at 7:30 AM – early, eager, and quietly absorbing everything around me. As I waited…
Fellowship Blog
A New Chapter: Beginning My Fellowship Journey at B&B Hospital
I will be sharing my fellowship journey from my journal here. The posts will be backdated and hopefully I will catchup eventually. Dated: July 15, 2025 As I begin this fellowship training in Hip, Pelvi-Acetabulum, and Arthroplasty at B&B Hospital for one year, I felt like taking a step back…