{"id":10640,"date":"2025-10-13T11:48:11","date_gmt":"2025-10-13T11:48:11","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?p=10640"},"modified":"2025-10-14T05:37:32","modified_gmt":"2025-10-14T05:37:32","slug":"minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/","title":{"rendered":"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report."},"content":{"rendered":"

[vc_section][vc_row][vc_column][vc_column_text]Main takeaway: <\/strong>Accurate reduction and safe implant placement in complex acetabular fractures can be enhanced by intra-operative O-arm navigation, enabling precise screw trajectories and confirmation of reduction while limiting soft-tissue morbidity.<\/p>\n

Abstract<\/h2>\n

A 33-year-old female sustained T type acetabular fracture involving anterior\u00a0 and posterior column \u00a0after a road traffic accident. Definitive fixation comprised open reduction and anterior column plating with adjunct screw fixation in posterior column from anterior approach under O-arm navigation. Intraoperative 3D imaging enabled trajectory planning\u00a0\u00a0 and immediate verification of reduction and hardware position. Early outcomes demonstrated maintained reduction and\u00a0\u00a0\u00a0 stable fixation on postoperative imaging. This report describes the indications, technique, and early postoperative course, and discusses the value of O-arm\u2013assisted navigation for complex acetabular fracture surgery.<\/p>\n

Keywords<\/h2>\n

Acetabular fracture; anterior column; medial wall; O-arm; intra-operative 3D navigation; cannulated screw fixation;<\/p>\n

Introduction<\/h2>\n

A successful outcome in acetabular fracture\u00a0 management depends on the involvement of both columns.Fractures involving both columns require\u00a0 both columns require anatomical reduction and fixation of each column,necessitating two separate surgical approaches.Such cases also pose challenges in patient positioning during surgery. Two-dimensional fluoroscopy can be limited by pelvic overlap and variation in pelvic tilt, increasing the risk of intra-articular screw placement or insufficient fixation [2,3]. Intraoperative 3D imaging\u00a0 with O-arm and navigation provides multiplanar visualization for trajectory planning, real-time guidance, and immediate\u00a0 verification of reduction and implant position, potentially improving accuracy and safety while reducing soft-tissue dissection\u00a0[7,9].<\/p>\n

Case Presentation<\/h2>\n

A 33-year-old female presented following a high-energy road traffic accident with left hip pain, inability to bear weight, and\u00a0pelvic tenderness.Common peroneal nerve was involved in left lower leg resulting in foot drop. Initial radiographs and CT pelvis demonstrated:\u00a0T type transverse acetabular fracture involving anterior and posterior column.<\/strong><\/p>\n

Surgical Technique<\/h2>\n

The patient was positioned supine on a radiolucent table.the patient had previously undergone a laparotomy through a pfannenstiel incision ,the medial (ilioinguinal) window could not be utilised. Therefore,exposure was achieved through a lateral window approach,which provided limited access to the acetabulum. Through a Iliofemoral approach the anterior column fracture was exposed and reduced and\u00a0 stabilized using reconstruction plate.Posterior column was reduced and held .Then a clamp was placed in this exposed iliac crest to hold the array.<\/p>\n

O-arm acquisition was performed to obtain intraoperative 3D datasets. Navigation registration was completed, and\u00a0planned screw trajectories were mapped to avoid the cotyloid fossa and femoral head [7,9]. \u00a0cannulated screws were inserted along the planned paths to buttress the posterior column, with live navigation confirming\u00a0Guide wire orientation and depth. A confirmatory O-arm spin verified extra-articular screw positions, maintenance of reduction, and appropriate hardware lengths.The screw position and reduction was confirmed with the available O arm.\u00a0Intraoperative blood\u00a0loss was modest; no\u00a0complications\u00a0occurred.<\/p>\n

Postoperative Management and Outcome<\/h2>\n

Deep venous thrombosis prophylaxis and multimodal analgesia were initiated. Hip range-of-motion exercises started on\u00a0\u00a0 postoperative day\u00a0 along with \u00a0bed side sitting.\u00a0Gentle hip and knee assisted mobilization.\u00a0Serial radiographs at early follow-up showed stable construct and preserved joint space. Intraoperative O-arm multiplanar reconstructions documented extra-articular screw placement and anatomic restoration of the anterior column and medial wall buttress. At subsequent clinical review, the patient demonstrated improving gait with minimal pain . No wound complications were observed.<\/p>\n

Preoperative images:<\/strong><\/p>\n

\"\"<\/figure>\n

Post operative images:<\/h2>\n
\"\"<\/figure>\n

Discussion<\/h2>\n

This case highlights that combining anterior column plating with posterior column screw fixation through a single anterior approach under O arm navigation is a feasible and effective technique for T type acetabular fractures.Complex acetabular injuries require accurate reduction and stable fixation to minimize the risk of post-traumatic arthritis [1,4]. Anterior approaches allow direct reduction of the anterior column; however,\u00a0addressing the posterior column can be challenging with conventional two-dimensional guidance due to limited visualization and overlapping anatomy [6]. O-arm navigation offers several advantages:<\/p>\n

Multi planar planning and guidance for safe, extra-articular screw placement [7,9]<\/p>\n

Immediate confirmation of reduction and implant position with a single spin<\/p>\n

Potential reduction in fluoroscopy time and radiation to the surgical team<\/p>\n

Minimization of additional exposures or extensive dissection for visualization<\/p>\n

The construct in this case\u2014rigid anterior column plate with navigation-guided screws buttressing the\u00a0Posterior column \u2014provides both column stability and subchondral support [5,8]. Postoperative 3D confirmation mitigates the risk of unrecognized intra-articular hardware, a key cause of poor outcomes in acetabular fixation [1].<\/p>\n

Recent studies have demonstrated improved accuracy and reduced complications with computer-assisted navigation in acetabular fracture surgery [3,7]. The integration of real-time 3D imaging with surgical navigation represents a significant advancement in complex pelvic trauma management, allowing surgeons to achieve optimal reduction and hardware\u00a0placement while minimizing surgical morbidity [9].<\/p>\n

Conclusion<\/h2>\n

The anterior approach with O arm navigation guidance for fixation of both columns in T type\u00a0 acetabular fractures is\u00a0 a promising minimally invasive alternative to dual approaches ,offering accurate reduction and stable fixation with fewer complications. Intraoperative 3D navigation facilitates precise screw trajectories, confirms reduction, and may decrease complications associated with malpositioned implants [7,9]. Early results in this patient demonstrate\u00a0\u00a0 stable fixation and satisfactory early clinical progress.<\/p>\n

References<\/h2>\n

[1] Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results inpatients managed operatively within three weeks after the injury. J Bone Joint SurgAm. 1996;78(11):1632\u20131645.<\/p>\n

[2]\u00a0Hsu CE, Chang W,\u00a0Hsu\u00a0RW.\u00a0Percutaneous fixation of acetabular fractures.\u00a0Orthopedics.\u00a02013;36(10):e1326\u2013e1333.<\/p>\n

[3] Keel MJ, Siebenrock KA, Romero J, et al. Computer-assisted fixation of acetabular fractures: a technique report. Injury. 2012;43(6):956\u2013961.<\/p>\n

[4]\u00a0Maempel JF,\u00a0Anderson\u00a0IG, Chesser TJ. Current concepts: acetabular fractures.\u00a0Orthop\u00a0Trauma.\u00a02020;34(5):291\u2013298.<\/p>\n

[5] Wiesel BB, Skeete K. Anterior column acetabular fractures: review and surgical techniques. J Orthop Trauma. 2021;35(Suppl 7):S35\u2013S42.<\/p>\n

[6]\u00a0Moed\u00a0BR.\u00a0Minimally\u00a0invasive techniques\u00a0in acetabular fracture surgery.\u00a0Injury. 2016;47(Suppl\u00a01):S82\u2013S88.<\/p>\n

[7] Wang J, Zhang J, Zhang H, et al. Accuracy of minimally invasive percutaneous screw placement for acetabular fractures under intraoperative 3D imaging navigation. J Orthop Surg Res. 2022;17:563.<\/p>\n

[8] Pryor GA, Patterson JT, Moed BR. External fixation and percutaneous screw fixation of acetabular fractures. J Orthop Trauma. 2017;31(Suppl 2):S10\u2013S13.<\/p>\n

[9] Harty M, Guevara CJ, KlattAE. Use of O-arm intraoperative 3D fluoroscopy in pelvic and acetabular fracture fixation. Orthopedics. 2019;42(3):e295\u2013e300.<\/p>\n

[10] Moed BR, Acharya AB, Rasouli MR, et al. Bilateral acetabular fractures: case report and review of the literature. Clin Orthop Relat Res. 2005;439:226\u2013232.<\/p>\n

Mentor<\/h3>\n
\n
\"Dr<\/div>\n
\n

Dr.Singaravadivelu D.Ortho, M.S.Ortho,PhD
\nSenior Consultant & Academic Lead – Orthopaedic Surgery
\nKauvery Hospital, Alwarpet, Chennai.<\/a><\/b><\/p>\n<\/div>\n<\/div>\n

\n
\"Dr.Keerthivasan\"<\/div>\n
\n

Dr.Keerthivasan M.S.Ortho,DNB (Ortho),FISS
\nConsultant Orthopaedic Spine Surgeon
\nKauvery Hospital, Alwarpet, Chennai.<\/a><\/b><\/p>\n<\/div>\n<\/div>\n

\n
\"Dr<\/div>\n
\n

Dr Aarif Raja
\nOrtho 2nd Year PG Resident
\nKauvery Hospital, Alwarpet, Chennai.<\/a><\/b><\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

[vc_section][vc_row][vc_column][vc_column_text]Main takeaway: Accurate reduction and safe implant placement in complex acetabular fractures can be enhanced by intra-operative O-arm navigation, enabling precise screw trajectories and confirmation of reduction while limiting soft-tissue<\/p>\n","protected":false},"author":2,"featured_media":10649,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[93],"tags":[],"class_list":["post-10640","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ima-journal-october-2025"],"yoast_head":"\nMinimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report.<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report.\" \/>\n<meta property=\"og:description\" content=\"[vc_section][vc_row][vc_column][vc_column_text]Main takeaway: Accurate reduction and safe implant placement in complex acetabular fractures can be enhanced by intra-operative O-arm navigation, enabling precise screw trajectories and confirmation of reduction while limiting soft-tissue\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/\" \/>\n<meta property=\"og:site_name\" content=\"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-13T11:48:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-14T05:37:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1308\" \/>\n\t<meta property=\"og:image:height\" content=\"545\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"kh-ima-admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"kh-ima-admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/\",\"url\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/\",\"name\":\"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report.\",\"isPartOf\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg\",\"datePublished\":\"2025-10-13T11:48:11+00:00\",\"dateModified\":\"2025-10-14T05:37:32+00:00\",\"author\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/#\/schema\/person\/a008aa764057e74557d708f2381a5acb\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#primaryimage\",\"url\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg\",\"contentUrl\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg\",\"width\":1308,\"height\":545},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report.\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/#website\",\"url\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/\",\"name\":\"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health\",\"description\":\"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/#\/schema\/person\/a008aa764057e74557d708f2381a5acb\",\"name\":\"kh-ima-admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/6b190d48867033f0c3c0aac5530295535596218654f543741508cab11520ab8f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/6b190d48867033f0c3c0aac5530295535596218654f543741508cab11520ab8f?s=96&d=mm&r=g\",\"caption\":\"kh-ima-admin\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/","og_locale":"en_US","og_type":"article","og_title":"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report.","og_description":"[vc_section][vc_row][vc_column][vc_column_text]Main takeaway: Accurate reduction and safe implant placement in complex acetabular fractures can be enhanced by intra-operative O-arm navigation, enabling precise screw trajectories and confirmation of reduction while limiting soft-tissue","og_url":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/","og_site_name":"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health","article_published_time":"2025-10-13T11:48:11+00:00","article_modified_time":"2025-10-14T05:37:32+00:00","og_image":[{"width":1308,"height":545,"url":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg","type":"image\/jpeg"}],"author":"kh-ima-admin","twitter_card":"summary_large_image","twitter_misc":{"Written by":"kh-ima-admin","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/","url":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/","name":"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report.","isPartOf":{"@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#primaryimage"},"image":{"@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#primaryimage"},"thumbnailUrl":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg","datePublished":"2025-10-13T11:48:11+00:00","dateModified":"2025-10-14T05:37:32+00:00","author":{"@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/#\/schema\/person\/a008aa764057e74557d708f2381a5acb"},"breadcrumb":{"@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#primaryimage","url":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg","contentUrl":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/10\/minimally-invasive-management-of-t-type-acetabular-fracture-1.jpg","width":1308,"height":545},{"@type":"BreadcrumbList","@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-october-2025\/minimally-invasive-management-of-t-type-acetabular-fracture-using-anterior-column-plating-and-posterior-column-screw-fixation-from-anterior-approach-under-o-arm-navigation-case-report\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.kauveryhospital.com\/ima-journal\/"},{"@type":"ListItem","position":2,"name":"Minimally invasive management of T type Acetabular fracture using Anterior column Plating and posterior column screw fixation from anterior approach under O-arm Navigation- Case Report."}]},{"@type":"WebSite","@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/#website","url":"https:\/\/www.kauveryhospital.com\/ima-journal\/","name":"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health","description":"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.kauveryhospital.com\/ima-journal\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/#\/schema\/person\/a008aa764057e74557d708f2381a5acb","name":"kh-ima-admin","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.kauveryhospital.com\/ima-journal\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/6b190d48867033f0c3c0aac5530295535596218654f543741508cab11520ab8f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/6b190d48867033f0c3c0aac5530295535596218654f543741508cab11520ab8f?s=96&d=mm&r=g","caption":"kh-ima-admin"}}]}},"_links":{"self":[{"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/posts\/10640","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/comments?post=10640"}],"version-history":[{"count":7,"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/posts\/10640\/revisions"}],"predecessor-version":[{"id":10657,"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/posts\/10640\/revisions\/10657"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/media\/10649"}],"wp:attachment":[{"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/media?parent=10640"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/categories?post=10640"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-json\/wp\/v2\/tags?post=10640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}