Evidence map›Paper›PMID 41160130›Full record

ArticleSkeletal radiology2026

Image-guided percutaneous screw fixation in pathological fractures of the roof of the acetabulum.

Zacharie Bekkhoucha, Roberto Luigi Cazzato, Julia Weiss, Théo Mayer, Pierre-Alexis Autrusseau, Afshin Gangi, Julien Garnon

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Article in Skeletal radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zacharie BekkhouchaUniversity Hospital of Strasbourg, Strasbourg, France. zachbekkhoucha@gmail.com.
Roberto Luigi CazzatoUniversity Hospital of Strasbourg, Strasbourg, France.
Julia WeissUniversity Hospital of Strasbourg, Strasbourg, France.
Théo MayerUniversity Hospital of Strasbourg, Strasbourg, France.
Pierre-Alexis AutrusseauUniversity Hospital of Strasbourg, Strasbourg, France.
Afshin GangiUniversity Hospital of Strasbourg, Strasbourg, France.
Julien GarnonHospital of Haguenau, Haguenau, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective of the studyTo evaluate whether percutaneous cemented screw fixation improves the ability to walk of patients with pathological fractures of the acetabulum roof. MATERIAL AND

methodIn this retrospective single-center study, interventions performed with image-based guidance using either fluoroscopic or Cone Beam Computed Tomography (CBCT) control, or Four-Dimensional Computed Tomography (4DCT) control, to treat pathological fracture of the acetabulum roof with a percutaneous screwing technique were analyzed. Walking was measured on a 4-level scale: not walking, walking with 2 crutches, walking with a crutch, and walking unassisted. Results were analyzed using a non-parametric Wilcoxon test for paired series. Secondary outcomes were also assessed, such as weight-bearing, postoperative complications, and pain.

resultsA total of 19 consecutive patients (mean age 66.8 years, mostly American Society of Anesthesiologists score 3) receiving a percutaneous cemented screw fixation of the roof of the acetabulum intervention between December 2014 and February 2025 were included. The cancers involved were mainly prostate cancer, followed by lung and breast cancer. The study shows a significant improvement in patients' walking ability (p = 0.0029) and weight-bearing capacity (p = 0.039) when comparing patients' situation before and after the intervention. The intervention also improved pain level in 17 out of 19 patients.

conclusionPercutaneous fixation of pathological fractures of the acetabulum roof by cemented screws, guided by imaging, is an approach that significantly improves walking.

Indexed as

AcetabulumBone ScrewsFracture Fixation, InternalFractures, BoneFractures, SpontaneousRadiography, InterventionalSurgery, Computer-AssistedAgedAged, 80 and overCone-Beam Computed TomographyFemaleFluoroscopyHumansMaleMiddle AgedRetrospective StudiesAcetabulumBone metastasesFractureScrew fixation

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.