A Novel Latest and Indigenous Technique Developed for Fixing Displaced Superior Pubic Rami Fractures (Low Anterior Column Acetabulum Fracture) using Percutaneous Screws: A Case Report

Aim: Aim of this case report is to evaluate the efficacy of percutaneous screw fixation technique in displaced low anterior column acetabular fractures ( superior pubic Rami fractures) -A novel and indigenous technique.Objective: •To assess clinical outcome of the patient ( Decrease in pain and early rehabilitation in post period)• To assess radiological outcome of the patient ( X-ray and CT scan in post op period) Method •In this prospective case report, we included 2 patients with displaced superior pubic fractures with severe co morbities.• The patients were operated in February 2025 at Yashoda Superspeciality Hospital, Nehru Nagar and Vasundhra, Ghaziabad. Results •Of the 2 patients operated both became pain free immediately in the post op period, early mobilisation (bed side sitting and wheel chair mobilisation) was done very next day.• Radiologically post op x-rays ,CT scan was done to check for adequate reduction of the fracture, screw backout, loosening and mal-positioning. Conclusion• This novel indigenous technique gives us very good result in polytrauma patients, where open surgery can't be performed, because of the poor general condition of the patients.• With percutaneous fixation technique in displaced low anterior column fractures, the patient becomes pain free very next morning, there is no requirement of blood transfusion, less chances of infection, short hospital stay with very fast recovery.• Limitation of this case report-Number of patients included are very few and follow up is there for 1 month only.So we need a bigger study with a long follow up to make this procedure standardised world wide.