A novel hybrid fixation (percutaneous anterior pelvic bridge with K-wire) for the treatment of traumatic pelvic ring injury: A prospective study

Subcutaneous anterior pelvic bridge — an innovative technique for fixation of selective acetabular fracture: a case series and literature review

“…We speculate inadequate fixation by reconstruction plate on the small tuberosity fragment led to loss of reduction and non-union of the pubic ramus six months after initial surgery; the ORIF approach could also have caused additional soft tissue damage and delayed healing. A study by Huang et al [ 10 ] provided a novel approach to fixing K-wires on the pubic symphysis, which could improve the quality of reduction and provide more stability to this type of fracture. One patient (Fig.…”

“…The SAPB technique, originally developed by Cole et al [ 7 , 8 ], was used for unstable pelvic ring injuries. SAPB was also termed as the pelvic bridge technique, anterior pelvic internal fixation, percutaneous anterior pelvic bridge, by different studies [ 7 , 9 , 10 ]. A small prebent reconstruction plate (14–18 holes) was fitted onto the iliac crest and contralateral pubic tubercle, superficial to the abdominal fascia.…”

“…Non-union, malunion, or other complications were also noted. Union beyond 12 weeks was defined as “delayed union” and beyond 24 weeks as “non-union.” Fracture reduction was evaluated by measuring residual displacements on the three post-operative radiographs (one anteroposterior and two 45° oblique Judet views) according to criteria developed by Matta [ 10 ]. On the basis of these criteria, postoperative reduction for displaced fracture was graded as anatomical (0–1 mm of displacement), imperfect (2–3 mm of displacement), or poor (> 3-mm displacement).…”

Potentialities of low invasive fixation of the anterior pelvic ring with threaded pin

“…G. Huang и соавт. [15] выполнили дополнительную к мостовидному остеосинтезу фиксацию спицей Киршнера, что обеспечило лучшее качество репозиции и дополнительную стабильность. Вышеописанные способы обладают рядом недостатков, таких как риск повреждения латерального кожного нерва бедра и структур сосудистой лакуны, миграция фиксаторов, сложность хирургической техники и, что немаловажно, высокая цена.…”