Anterior Fixation Techniques on Unstable Pelvic Ring Injury

Kim, Weon Yoo; Ji, Jong‐Hun; Kim, Young‐Yul; Yang, Yun-Jung; Lee, Dong Youb

doi:10.4055/jkoa.2005.40.1.8

Cited by 3 publications

(8 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Biomechanically, the anterior structures of the pelvic ring function as tension bands. They are repaired by performing internal fixation to fracture or diastasis at or near the pubic symphysis using external fixators, plates, screws, cables or wires 5) . Subsequently, reduction and fixation of the posterior sacroiliac complex are the most important steps to ensure pelvic ring stability.…”

Section: Main Subjectsmentioning

confidence: 99%

“…Plates, screws, sacral bars or rods, or cannulated screws are inserted to improve fixation, which is insufficient with an anterior fixation. Although there are internal fixation methods through an anterior or posterior approach 5 , 18) , closed reduction and percutaneous screw fixation are the preferred techniques. Surgical procedures are generally conducted using a C-arm image intensifier, but a navigation system or 2-dimensional and 3-dimensional CT guidance is used as well 21) .…”

Section: Main Subjectsmentioning

confidence: 99%

“…In the anterosuperior technique, the screws are inserted from the anterior iliac crest 1 , 23 , 24) . In the anteroinferior technique, they are inserted from the upper part of the anteroinferior iliac spine to the dense bone in the upper part of the acetabulum 5) . In the former method, early insertion is easy, but reliable firm internal fixation is difficult because of the curved shape of the iliac wing and its paper-thin middle part.…”

Section: Main Subjectsmentioning

confidence: 99%

“…Moreover, the stiffness of the sacroiliac joints with external fixators during exercise is unfavorable in comparison with the results of the latter method (163 N/mm: 203 N/mm) 4) . Therefore, the anteroinferior techniques is more commonly used 4 , 5 , 25) . A recent study reported that sufficient fixation ability can be achieved by placing a single screw from the anteroinferior direction on each side in patients with type B injuries 26) ( Fig.…”

Section: Main Subjectsmentioning

confidence: 99%

“…Pelvic fractures are mainly divided into unstable fractures resulting in pelvic ring deformity, and stable fractures, which include pubic ramus, iliac wing and avulsion fractures 1 , 2 , 3 , 4 , 5 , 6) . Determining pelvic ring stability after a pelvic fracture is important, because stable pelvic fractures are usually managed successfully with conservative treatment and do not lead to complications 7 , 8 , 9 , 10 , 11) .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Treatment of Unstable Pelvic Ring Injuries

Kim

2014

Hip & Pelvis

View full text Add to dashboard Cite

Pelvic fractures are classified according to the stability of the pelvic ring. Unlike stable pelvic fractures, which heal without complications, unstable fractures may lead to pelvic ring deformities, which cause severe complications. An orthopedic surgeon must determine the stability of the pelvic ring by radiography and physical examination of the patient in order to ensure early, prompt treatment. This article includes anatomy of the pelvic ring, classification of pelvic ring injuries, its treatment algorithm, and corresponding cases involving unstable pelvic ring injury.

show abstract

Section: Main Subjectsmentioning

confidence: 99%

Section: Main Subjectsmentioning

confidence: 99%

Section: Main Subjectsmentioning

confidence: 99%

Section: Main Subjectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Treatment of Unstable Pelvic Ring Injuries

Kim

2014

Hip & Pelvis

View full text Add to dashboard Cite

show abstract

Comparison with Number and Position of Percutaneous Iliosacral Screws as Treatment of Unstable Pelvic Fracture

Kim

Kwon

et al. 2009

J Korean Orthop Assoc

View full text Add to dashboard Cite

Purpose: A closed reduction of the posterior arch and percutaneous fixation with S1 and S2 iliosacral (IS) screw was performed on an unstable pelvis fracture with a disruption of the sacroiliac complex. The radiological and clinical results were analyzed according the number of screws and their position. Materials and Methods: Of 31 cases with an unstable pelvis fracture involving the sacral complex, classified as Tile type C (AO/OTA), 16 and 15 cases were treated with one S1 screw fixation and two screws fixation into S1 and S2, respectively, using a percutaneous fixation technique. The patients were followed up for a minimum of 12 months and the radiological and clinical outcomes were analyzed statistically using the Majeed score and SF-36. Results: Five cases of screw displacement occurred in the one screw fixation group. On the other hand, there was no screw displacement in the two screws fixation group after a mean follow-up of 40.2 months. In the case of a narrow safe zone (iliac cortical density, ICD), it is impossible to fix with two S1 screws. However, in these patients, good clinical results were achieved with S1 and S2 were achieved with S1 and S2 screw without complications. Conclusion:The technique of two screws fixation is an efficient and reliable method for reducing and fixing the unstable pelvic ring disruptions. Additional S2 screw fixation is recommended for patients with a narrow ICD.

show abstract

Outcome of Surgical Treatment of AO Type C Pelvic Ring Injury

et al. 2014

View full text Add to dashboard Cite

PurposeTo evaluate the radiologic and clinical outcomes of AO type C pelvic ring injury and identify the prognostic factors.Materials and MethodsWe studied 53 patients who were treated for AO type C pelvic ring injury from January 2002 to February 2010. Mean age and mean follow-up duration were 42.4 years and 14 months, respectively. We had 8 cases of AO type C1-1, 19 cases of C1-2, 11 cases of C1-3, 6 cases of C2 and 9 cases of C3 injury. We analyzed type of fracture, displacement, method of fixation and associated injuries. Radiologic outcome was evaluated with Matta and Saucedo criteria and clinical outcome was evaluated using Majeed score.ResultsThe average Majeed score was 86.2 distributing as 36 excellent cases, 15 good cases and 2 fair cases. Using radiologic Matta and Saucedo criteria, patients were divided as 31 excellent cases, 17 good cases and 5 fair cases. There was no significant difference between the outcomes of anterior, posterior and antero-posterior fixation. Neurologic injury was the reason for an unsatisfactory functional outcome. We identified two cases with complication, one with postoperative infection and the other with nonunion following anterior-posterior fixation.ConclusionSatisfactory radiologic and clinical outcomes were obtained with open reduction and internal fixation in the management of AO type C pelvic ring injuries. Neurologic injuries affected the clinical outcome.

show abstract

Anterior Fixation Techniques on Unstable Pelvic Ring Injury

Cited by 3 publications

References 2 publications

Treatment of Unstable Pelvic Ring Injuries

Treatment of Unstable Pelvic Ring Injuries

Comparison with Number and Position of Percutaneous Iliosacral Screws as Treatment of Unstable Pelvic Fracture

Outcome of Surgical Treatment of AO Type C Pelvic Ring Injury

Contact Info

Product

Resources

About