The Pelvic Bridge: A Subcutaneous Approach for Anterior Pelvic Fixation

JBJS Essential Surgical Techniques
Peter A ColeEvgeny Dyskin

Abstract

An alternative method to external fixation for the treatment of unstable anterior pelvic ring injuries, termed the pelvic bridge technique, provides equivalent results with fewer complications and is performed using occipital cervical rods subcutaneously, with fixation into the iliac wings and parasymphyseal bone. For preoperative planning, review the appropriate imaging, including radiographs and computed tomography (CT) scans, to mesh the findings on imaging to the clinical picture of the patient and ensure that the patient meets operative criteria and that none of the contraindications are present. Position the patient to facilitate anterior and posterior fixation. Make the incisions necessary to expose the osseous contour where fixation will be utilized. Carefully contour the plate-rod construct, which is necessary to minimize postoperative complications. Use care when inserting the rod as doing so will help to avoid neurovascular complications. To recreate pelvic stability, the pelvic ring needs to heal in as close to anatomic position as possible and there are multiple methods that help to obtain an adequate reduction. Multiple constructs may be used to stabilize the anterior pelvic ring, but the fundamental principle is ...Continue Reading

References

Feb 18, 2012·Journal of Orthopaedic Trauma·Caroline MoazzamPeter A Cole
Apr 12, 2012·Clinical Orthopaedics and Related Research·Timothy G HiestermanPeter A Cole

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Citations

Aug 8, 2018·Journal of Orthopaedic Trauma·Andrew CampbellThuan V Ly

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