Assessment of instability in type B pelvic ring fractures

Grewal, Ishvinder S.; Mir, Hassan R.

doi:10.1016/j.jcot.2020.10.004

Cited by 5 publications

(3 citation statements)

References 25 publications

(26 reference statements)

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“…7,8 Owing to the recoil capacity of the pelvic ring, x-ray or computed tomography scan might not reflect the potential displacement or instability of the injured pelvic ring. 9,10 Compared to the anterior structure, the posterior part is more important for hemorrhage control and load transmission from the lower limbs to the spine. The sacrum is often fractured because of its thin cortex, causing neurological deficits constantly.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive transiliac anatomical locking plate for posterior pelvic ring injury: A technical trick of the gull wing plate

Mitsuzawa¹,

Kusakabe²,

Matsuda³

2022

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 99%

Minimally invasive transiliac anatomical locking plate for posterior pelvic ring injury: A technical trick of the gull wing plate

Mitsuzawa¹,

Kusakabe²,

Matsuda³

2022

Journal of Clinical Orthopaedics and Trauma

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“…Management of a pelvic ring injury poses significant challenges for orthopaedic surgeons [ 12 ]. An initial X-ray or CT scan in the emergency department might not reflect the potential displacement or instability of the injured pelvic ring due to the recoil capacity of the pelvis [ 13 ]. The posterior part of the pelvic ring is the key structure in terms of hemorrhage control and load transmission from the lower limbs to the lumbar spine.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive transiliac anatomical locking plate for posterior pelvic ring injury: a retrospective analysis of clinical outcomes and radiographic parameters for the gull wing plate

Mitsuzawa

Kusakabe²,

Nakao³

et al. 2022

BMC Musculoskelet Disord

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Background Posterior pelvic ring injuries are challenging for surgeons to treat adequately due to difficulties with reduction and stabilization. Surgical intervention is a beneficial option to protect neurological structures and provide sufficient stability for early mobilization. The gull wing plate (GWP) is a pre-contoured anatomical locking plate with six screws, and its design is unique among posterior transiliac tension-band plates. The purpose of this study was to investigate clinical results of the GWP. Methods Patients who had an unstable posterior pelvic ring injury and underwent internal fixation with GWP were retrospectively analyzed at a trauma center. Demographic data, fracture type, perioperative data, and radiological evaluation with computed tomography (CT) were collected. Clinical outcomes were graded using the functional independence measure (FIM) and Majeed outcome score. Results Twenty-six patients were enrolled (mean age, 54 years), and the mean follow-up period was 23 months. The mean Injury Severity Score was 24 points, and internal fixation was performed 6.6 days post-trauma. CT evaluation showed the lateral surface angle of the uninjured ilium was approximately 68°. The GWP pre-contoured anatomical design closely matched this angle. The mean FIM and Majeed score were 119 and 76 points, respectively, which were graded as excellent (n = 14), good (n = 9), or fair (n = 3). Conclusions With the retrospective single-center data available, the GWP seems to be a minimally-invasive alternative, provides reliable stability of the posterior pelvic ring and allows for rehabilitation within normal ranges.

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“…Они возникают в большинстве случаев в результате высокоэнергетических травм, главным образом вследствие дорожнотранспортного происшествия (64,37 %), падения со значительной высоты (25,32 %) либо вследствие спортивных травм (около 2 %) [15,16]. Такие переломы зачастую сопровождаются сопутствующими опасными для жизни травмами [17,18]. Повреждения тазового кольца типа B представляют собой открытые и боковые компрессионные переломы.…”

Section: нестабильные повреждения тазового кольца: особенности возник...unclassified

Verticalization of patients and axial load on the lower limbs after surgical treatment of unstable injuries of the pelvic ring (brief review of the literature)

Melkostupov,

Komogortsev,

Vinogradov

et al. 2023

Acta biomedica scientifica

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The article provides a theoretical review of scientific publications devoted to the rehabilitation of patients with unstable pelvic ring injuries; the features of pelvic ring damage are considered based on the specifics of the traumatic injury, the frequency of occurrence and the severity of the consequences. It is emphasized that prolonged pain syndrome due to pelvic ring injuries and the duration of the rehabilitation period negatively affect the physical and psycho-emotional state of a patient. At the same time, pelvic ring injuries are most relevant among the working population, and their consequences are quite serious, including disability and death. Consequently, the possibility of optimizing rehabilitation measures for patients with unstable injuries, aimed at restoring the functions of the musculoskeletal system in static conditions and while walking, is currently one of the urgent tasks of theoretical and practical traumatology. The possibilities of verticalization of patients and the use of axial load on the lower limbs in the postoperative period are considered as the main rehabilitation measures. It is noted that in the case of resolving the issue of axial load in case of unstable pelvic ring injury, the intensity of such load and the timing of the start of its use should be determined individually, depending on the physical condition of a patient, the characteristics of the injury and the presence of concomitant injuries. Treatment for unstable pelvic ring injuries most commonly is carried out in most cases through the use of various methods of surgical treatment and restoration of the pelvic anatomy. Based on the results of the theoretical study, it is necessary to state that, despite the obvious significance of postoperative treatment, the adequate organization of which largely determines its final result, it was revealed that the material for studying this issue is insufficient due to specific approaches to verticalization and axial load on the lower limbs, depending on type of pelvic ring injury, taking into account the individual characteristics of the injury in a particular patient.

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Assessment of instability in type B pelvic ring fractures

Cited by 5 publications

References 25 publications

Minimally invasive transiliac anatomical locking plate for posterior pelvic ring injury: A technical trick of the gull wing plate

Minimally invasive transiliac anatomical locking plate for posterior pelvic ring injury: A technical trick of the gull wing plate

Minimally invasive transiliac anatomical locking plate for posterior pelvic ring injury: a retrospective analysis of clinical outcomes and radiographic parameters for the gull wing plate

Verticalization of patients and axial load on the lower limbs after surgical treatment of unstable injuries of the pelvic ring (brief review of the literature)

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