{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:40:54Z","timestamp":1770756054417,"version":"3.50.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>The stabilization of fractures of the anterior pelvic ring and anterior column of the acetabulum with antegrade or retrograde intramedullary screws has been frequently described. However, these narrow and nonlinear bony corridors can be challenging and dangerous to accommodate with rigid linear implants. Titanium elastic nails (TEN) are ideal implants to navigate in the narrow, irregular medullary canal in this anatomical location. This study aims to describe this surgical technique and its preliminary results. From April 2018 to October 2023, patients who underwent acute TEN stabilization of their pelvic or acetabular fractures were identified from a review of medical records at a Level 1 trauma center. A focused review of their clinical documentation was performed to describe their demographics, injury patterns, the surgical techniques used in their treatment, and their clinical and radiographic outcomes. During the almost 6-year period, 19 patients were identified (age: 39 \u00b1 22 years; 74% male). There were 3 acetabulum and 16 pelvic ring fractures stabilized. One of the 19 patients underwent bilateral TEN fixation of the superior pubic rami. Patients were followed-up through hospital outpatient clinics postoperatively (median follow-up 14 months, IQR: 8\u201324 months). No fractures were complicated by nonunion or secondary displacement of the reduction. A 14-year-old patient required hardware removal due to irritation, and a 19-month-old patient underwent planned hardware removal due to her age. No patients have undergone hip arthroplasty to date, and there were no instances of infection or neurovascular injury. These preliminary results are promising and suggest that larger scale assessment of the indications and feasibility of TEN stabilization in pelvic and acetabular surgery is warranted.<\/jats:p>","DOI":"10.1097\/bot.0000000000002903","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T13:06:35Z","timestamp":1723813595000},"page":"e371-e378","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous Titanium Elastic Nail Stabilization for Pelvic and Acetabular Fractures: Surgical Technique and Case Series"],"prefix":"10.1097","volume":"38","author":[{"given":"Nicholas J.","family":"Murphy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Graan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0277-4822","authenticated-orcid":false,"given":"Zsolt J.","family":"Balogh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.ocl.2010.08.004","article-title":"Percutaneous treatment of pelvic and acetabular fractures in obese patients","volume":"42","author":"Bates","year":"2011","journal-title":"Orthop Clin North Am."},{"key":"R2-20250614","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/00005131-199801000-00009","article-title":"Percutaneous fixation of the columns of the acetabulum: a new technique","volume":"12","author":"Starr","year":"1998","journal-title":"J Orthop Trauma"},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"2151459318824904","DOI":"10.1177\/2151459318824904","article-title":"Intramedullary stabilization of pubic ramus fractures in elderly patients with a photodynamic bone stabilization system (IlluminOss)","volume":"10","author":"Oikonomidis","year":"2019","journal-title":"Geriatric Orthop Surg Rehabil"},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1016\/j.injury.2004.09.016","article-title":"Percutaneous retrograde screwing for stabilisation of acetabular fractures","volume":"36","author":"Mouhsine","year":"2005","journal-title":"Injury"},{"key":"R5-20250614","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.injury.2019.12.018","article-title":"Minimal-invasive stabilization of anterior pelvic ring fractures with retrograde transpubic screws","volume":"51","author":"Rommens","year":"2020","journal-title":"Injury"},{"key":"R6-20250614","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1007\/s00402-012-1486-7","article-title":"Percutaneous fixation of acetabular fractures: computer-assisted determination of safe zones, angles and lengths for screw insertion","volume":"132","author":"Puchwein","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"key":"R7-20250614","first-page":"269","article-title":"Risk of spermatic cord injury during anterior pelvic ring and acetabular surgery: an anatomical study","volume":"3","author":"Firoozabadi","year":"2015","journal-title":"Arch Bone Jt Surg."},{"key":"R8-20250614","doi-asserted-by":"crossref","first-page":"3759","DOI":"10.1016\/j.injury.2022.09.023","article-title":"Iatrogenic risk of genital injury with retrograde anterior column screws: CT analysis","volume":"53","author":"Patterson","year":"2022","journal-title":"Injury"},{"key":"R9-20250614","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.injury.2020.11.004","article-title":"TENS for surgical stabilisation of acetabular fracture in the skeletally immature: a novel technique","volume":"52","author":"Razak","year":"2021","journal-title":"Injury"},{"key":"R10-20250614","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1186\/s12891-021-04565-2","article-title":"Retrospective analysis of traumatic triradiate cartilage injury in children","volume":"22","author":"Dong","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"R11-20250614","doi-asserted-by":"crossref","first-page":"79","DOI":"10.3390\/medicina56020079","article-title":"Cost-effectiveness of titanium elastic nail (TEN) in the treatment of forearm fractures in children","volume":"56","author":"Adam","year":"2020","journal-title":"Medicina (Kaunas)"}],"container-title":["Journal 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