الفهرس 
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Abstract
This prospective study included twenty patients with anterior column acetabular fracture presented to Mansoura university emergency hospital. The aim of this prospective study is to assess the outcome of percutaneous screw fixation of anterior column acetabular fractures in patients admitted to Mansoura university emergency hospital. In our series 6 patients ages were between 20 and 40 years old, 14 patients were between 40 and 60 years old, 13 patients were males (65%) and 7 patients were females (35%), 13 patients (65%) affected in left side while 6 patients (30%) affected in right side and 1 patient (5%) with bilateral anterior column fractures, 7 patients (35%) were smokers, 13 patients (65%) were non smokers, 17 patients (85%) gained fracture by by motor vehicle (RTA), 2 patients (10%) injured by falling from a height at work and 1 patient (5%) had a domestic fall from asimple height at home.The results were assessed at mean period of 13 months of the operation according to Harris hip score system and serial x rays. The results at the end of the study were satisfactory in 16 patients (80%) (7 excellent and 9 good) and unsatisfactory in 4 patients (20%) (2 fair and 2 poor. These results revealed that this technique was easy to perform for a surgeon who had enough clinical experience of orientation to wire direction through the pelvis and perhaps “feeling” that the guide wire “walks” in the passage made up of cancellous bone by hammering. We performed the procedures by 2D fluoroscopy using a C-arm, and we believe that it is good for applying this without equipping CT navigation.