Emergency pelvic stabilization in patients with pelvic posttraumatic instability

International Orthopaedics
Dan V PoenaruFlorin Birsasteanu

Abstract

Unstable pelvic ring disruptions have been associated with high rates of morbidity. Accurate reduction with fixation diminishes pain, permits early patient mobility, and allows the pelvic ring to improve functional outcome. This was a retrospective study, whereby 30 polytrauma hospitalized patients were included, with unstable pelvic lesions stabilized with an external fixator as a mean of temporary or definitive fixation. Data collected for these sample were: age, sex, cause of trauma, type of pelvic lesion, associated lesions (ISS score), pelvic stabilization methods, and functional outcome. There were 17 male subjects (57%) and 13 female subjects (43%), with a mean age of 42.5 years (range 18-62 years). According to Tile classification, the unstable pelvic ring lesions prevailed; 60 % of patients were type C while three patients with type C instability had associated acetabular fractures, and 40% had type B rotational instability. Stabilization was achieved using an external fixator in 16 patients; in 14 patients the anterior ring fixation was used with an external fixator combined with posterior stabilization using percutaneous sacroiliac screws. The pelvic stabilization using the external fixator was later replaced with pl...Continue Reading

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Citations

Jan 25, 2017·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
Dec 9, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Hazem NasefAbduljabbar Alhammoud
Nov 19, 2019·Journal of Orthopaedic Trauma·Conor KlewenoJulie Agel
Mar 29, 2019·Critical Care : the Official Journal of the Critical Care Forum·Donat R SpahnRolf Rossaint
May 3, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Benjamin YoungGiovanni F Solitro
May 8, 2020·EFORT Open Reviews·Carlos A Encinas-UllánE Carlos Rodríguez-Merchán
Mar 9, 2017·Journal of Orthopaedic Surgery and Research·Wenhao SongYu He
Jun 16, 2017·International Orthopaedics·Leyi CaiJianshun Wang
Mar 28, 2018·International Orthopaedics·Laura BlumCyril Mauffrey

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