Three-dimensional navigation-guided percutaneous <i>trans</i>-symphyseal screw for mechanically unstable pubic symphysis diastasis

Minimally invasive trans-symphyseal screw (TSS) for pubic symphysis diastasis was recently advocated, and its feasibility reproducibility under 3D-navigation guidance are explored. Fifteen cases between 2016 2021 with a background of reviewed in this case series. Twenty-two TSS were inserted an average Injury Severity Score 35.3. Sixty percent received one-stage procedure including fracture reduction, intra-operative 3D imaging, planning followed by execution. The mean operative time blood loss 132 minutes 160 ml, respectively. Average healing 5.8 months two delayed unions at 9 months. distance maintained all 6 post-op. Marjeed score, Multicenter Study Group Pelvic Outcome Score, Numeric pain rating scale 60.2, 6.5, 2.7, We conclude that 3D-navigation-guided percutaneous restores pelvic stability provides satisfactory control, thus safe effective alternative to open reduction internal fixation.