A Method of Using a Pelvic C-Clamp for Intraoperative Reduction of a Zone 3 Sacral Fracture

Wiznia, Daniel H.; Swami, Nishwant; Kim, Chang-Yeon; Leslie, Michael

doi:10.1155/2016/8586517

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…However, if the rotation or vertical displacement of the posterior ring is not corrected when the anterior ring is fixed, the stress of the steel plate on the anterior ring will increase, eventually leading to internal fixation failure [ 34 ]. Therefore, when the anterior ring and the posterior ring are both unstable, especially in the case of large displacement, it is necessary to use lower limb traction to correct the vertical displacement [ 38 ] or use C-clamps to correct the posterior ring rotation displacement [ 39 ], which can effectively reduce the risk of internal fixation failure. These are also some instrument-related notes to avoid fixation failure for the unstable anterior ring.…”

Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Failure of internal fixation of the anterior ring for unstable pelvic fractures, the experience of a single institute

Zhang

Liu

et al. 2021

J Orthop Surg Res

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Background This study aimed to share our experience of anterior ring fixation failure for unstable pelvic fractures and propose corresponding treatment strategies. Materials From January 2009 to December 2018, 93 charts of patients with pelvic fractures were retrospectively reviewed. Patients with failure of the anterior ring internal fixation within 3 months after initial surgery were analyzed. Quality of reduction was evaluated using the Majeed scoring system. Patients aging ≥ 18 years, with unstable pelvic fractures, Tile classification type B and type C pelvic fractures, combined injury of other organs that did not affect the operation and without important neurovascular damage were included. The exclusion criteria included: (1) pathological fracture, or combined with pelvic bone tumor or severe osteoporosis; (2) femoral fracture and thoracolumbar fracture; (3) open pelvic fracture; (4) Morel-Lavallée injury; (5) complicated acetabular fracture. The quality of the reduction of the anterior pelvic ring injury was evaluated on the x-ray film using the Majeed scoring system. Results According to the Tile classification of fracture, there were 23 cases of type B1, 17 cases of type B2, 11 cases of type B3, 28 cases of type C1, 6 cases of type C2, and 8 cases of type C3. The duration from injury to pelvic internal fixation ranged from 5 to 28 days. Seven out of 93 patients experienced failure of internal fixation of the anterior pelvic ring within 3 months, including 2 patients fixed with an external fixator and 5 patients fixed with a plate. Five patients undergoing revision surgery were followed up for 6–36 months with an average of 18 months. According to Majeed’s score at the last follow-up in the 5 patients undergoing revision surgery, there were 2 cases of excellent, 2 cases of good, 1 case of fair. The excellent and good rate reached 80%. Conclusion The treatment of complicated unstable pelvic fractures requires performing internal fixation surgery within 2 weeks. It is necessary to make a preoperative plan and stabilize the posterior ring first, avoiding a single steel plate crossing the pubic symphysis.

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Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Failure of internal fixation of the anterior ring for unstable pelvic fractures, the experience of a single institute

Zhang

Liu

et al. 2021

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…However, if the rotation or vertical displacement of the posterior ring is not corrected when the anterior ring is xed, the stress of the steel plate on the anterior ring will increase, eventually leading to internal xation failure. Therefore, when the anterior ring and the posterior ring are both unstable, especially in the case of large displacement, it is necessary to use lower limb traction to correct the vertical displacement [33] or use Cclamps to correct the posterior ring rotation displacement [34], which can effectively reduce the risk of internal xation failure.…”

Section: Discussionmentioning

confidence: 99%

Failure of Internal Fixation of The Anterior Ring For Unstable Pelvic Fractures, The Experience of A Single Institute

Zhang

Liu

et al. 2021

Preprint

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Background: This study aimed to share our experience of anterior ring fixation failure for unstable pelvic fractures and propose corresponding treatment strategies. Materials: From January 2009 to December 2018, 93 patients with pelvic fractures were retrospectively reviewed. Patients with failure of the anterior ring internal fixation within 3 months after initial surgery were analyzed. Quality of reduction was evaluated using the Majeed scoring system.Results: According to the Tile classification of fracture, there were 23 cases of type B1, 17 cases of type B2, 11 cases of type B3, 28 cases of type C1, 6 cases of type C2, and 8 cases of type C3. The duration from injury to pelvic internal fixation ranged from 5-28 days. Seven out of 93 patients experienced failure of internal fixation of the anterior pelvic ring within 3 months, including 2 patients fixed with an external fixator and 5 patients were fixed with a plate. Five patients undergoing revision surgery were followed up for 6-36 months with an average of 18 months. According to Majeedscore at the last follow-up, there were 2 cases of excellent, 2 cases of good, 1 case of fair, and the excellent and good rate reached 80%.Conclusion: The treatment of complicated unstable pelvic fractures requires early multidisciplinary cooperation, proper management of hemodynamic stability and other comorbidities, and performing internal fixation surgery within 2 weeks. It is necessary to make a preoperative plan and stabilize the posterior ring first, avoiding a single steel plate crossing the pubic symphysis.

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“…La estabilización de una fractura sacra vertical con inestabilidad pélvica puede ser difícil debido al movimiento persistente en las superficies de la fractura que, en teoría, también propician otras condiciones como émbolos grasos, alteraciones respiratorias y coagulopatías. 19,20 Por lo tanto, la obtención de…”

Section: Clamp For Unstable Pelvic Fracture Managementunclassified

Manejo de fracturas inestables de pelvis con clamp en C

Palomo¹,

Pola²

2021

Anales Médicos De La Asociación Médica Del Centro Médico ABC

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Las fracturas de pelvis se asocian con una elevada mortalidad por la propia lesión y/o lesiones asociadas como cráneo, tórax, abdomen y extremidades. En particular, las lesiones inestables tipo C en la clasificación de Tile AO del anillo pélvico pueden ocasionar hemorragia masiva que en más de 80% de los casos tiene como origen el plexo presacro. Hasta 25% de estos pacientes mueren como consecuencia directa del choque hemorrágico severo. El clamp en C permite una reducción rápida, compresión y estabilización de la lesión, por tanto, es una herramienta muy útil en el control del choque, sin retrasar ni obstaculizar el diagnóstico y tratamiento definitivo, permitiendo realizar estudios como tomografía y resonancia magnética sin la necesidad de retirar el sistema, así como proporcionar acceso sin restricciones al abdomen, la pelvis o fémur proximal, sitios de lesiones concomitantes frecuentes a lesiones de pelvis.

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A Method of Using a Pelvic C-Clamp for Intraoperative Reduction of a Zone 3 Sacral Fracture

Cited by 7 publications

References 13 publications

RETRACTED ARTICLE: Failure of internal fixation of the anterior ring for unstable pelvic fractures, the experience of a single institute

RETRACTED ARTICLE: Failure of internal fixation of the anterior ring for unstable pelvic fractures, the experience of a single institute

Failure of Internal Fixation of The Anterior Ring For Unstable Pelvic Fractures, The Experience of A Single Institute

Manejo de fracturas inestables de pelvis con clamp en C

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