Biomechanical aspects of pelvic ring reconstruction techniques: Evidence today

Papathanasopoulos, Argiris; Tzioupis, C.; Giannoudis, Vasillios P.; Roberts, Craig S.; Giannoudis, Peter V.

doi:10.1016/j.injury.2010.10.001

Cited by 38 publications

(14 citation statements)

References 79 publications

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“…Generally, a cadaver or synthetic pelvis is tested with large variations in force vectors’ direction, quantity and point of application [4,15,17-21]. Most experimental setups ignore forces resulting by acceleration when walking and ignore force vector realignment by abductor and adductor muscles [17,22,23]. …”

Section: Discussionmentioning

confidence: 99%

Mechanical testing of a device for subcutaneous internal anterior pelvic ring fixation versus external pelvic ring fixation

Osterhoff

Tiziani

Ferguson

et al. 2014

BMC Musculoskelet Disord

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BackgroundAlthough useful in the emergency treatment of pelvic ring injuries, external fixation is associated with pin tract infections, the patient’s limited mobility and a restricted surgical accessibility to the lower abdomen. In this study, the mechanical stability of a subcutaneous internal anterior fixation (SIAF) system is investigated.MethodsA standard external fixation and a SIAF system were tested on pairs of Polyoxymethylene testing cylinders using a universal testing machine. Each specimen was subjected to a total of 2000 consecutive cyclic loadings at 1 Hz with sinusoidal lateral compression/distraction (+/−50 N) and torque (+/− 0.5 Nm) loading alternating every 200 cycles. Translational and rotational stiffness were determined at 100, 300, 500, 700 and 900 cycles.ResultsThere was no significant difference in translational stiffness between the SIAF and the standard external fixation when compared at 500 (p = .089), 700 (p = .081), and 900 (p = .266) cycles. Rotational stiffness observed for the SIAF was about 50 percent higher than the standard external fixation at 300 (p = .005), 500 (p = .020), and 900 (p = .005) cycles. No loosening or failure of the rod-pin/rod-screw interfaces was seen.ConclusionsIn comparison with the standard external fixation system, the tested device for subcutaneous internal anterior fixation (SIAF) in vitro has similar translational and superior rotational stiffness.

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Section: Discussionmentioning

confidence: 99%

Mechanical testing of a device for subcutaneous internal anterior pelvic ring fixation versus external pelvic ring fixation

Osterhoff

Tiziani

Ferguson

et al. 2014

BMC Musculoskelet Disord

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show abstract

“…Anterior sacroiliac plate fixation is a reliable fixation method for the disrupted sacroiliac joint (3)(4)(5)(6)(7)(8)(9). The advantage of this anterior procedure is that it avoids soft tissue problems in the buttocks, including skin necrosis and subsequent infection.…”

Section: Discussionmentioning

confidence: 99%

“…The type C pelvic ring fracture presents with posterior pelvic ring disruption resulting in rotational and vertical instability, according to the Association for Osteosynthesis-Orthopaedic Trauma Association (AO-OTA) classification (2). Various methods to stabilize the posteriorly disrupted pelvic ring have been used (3)(4)(5)(6)(7)(8)(9). Anterior plate sacroiliac joint fixation is a technique to rigidly stabilize the posteriorly disrupted joint (3)(4)(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Navigation‐aided visualization of lumbosacral nerves for anterior sacroiliac plate fixation: a case report

Takao

Nishii

Sakai

et al. 2013

Robotics Computer Surgery

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“…Ряд компоновок внешней рамы аппарата позволяет несколько сместить внешнюю раму вниз, что открывает более широкие возможности для лапаротомии на фоне стабилизированного таза [56,53,57].…”

Section: способы хирургического гемостазаunclassified

Blood Loss in Pelvic Fractures

Borozda¹,

Ganzhurov²,

Nikolaev³

2019

AMJ

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ФГБОУ ВО Амурская ГМА Минздрава России 1 г. Благовещенск ГАУЗ АО «Амурская областная клиническая больница» 2 г. Благовещенск ГАУЗ АО «Амурская областная детская клиническая больница» 3 г. Благовещенск КРОВОПОТЕРЯ ПРИ ПЕРЕЛОМАХ ТАЗАРезюме Развитие хирургии таза на наших глазах совершило эволюционный скачок, что связано с совершенствованием анестезиологии и методик возмещения кровопотери. Метод В настоящей статье проведен анализ 41 источника отечественной и 20 источников иностранной литературы, посвященных проблеме лечения пациентов с повреждениями таза и внутритазовой кровопотерей. Результаты Рассмотрены процессы, определяющие природу внутритазового кровотечения, его интенсивности, объема, продолжительности, а также методы возмещения кровопотери и хирургического гемостаза. Заключение Энергия травмирующего агента определяет уровень повреждения тазового кольца (степень его дезинтеграции) -как костей, так и мягких тканей. Тактика диагностики и лечения пациентов с дезинтегрирующими повреждениями тазового кольца зависит от объема и скорости кровопотери при данном конкретном повреждении. Ключевые слова: забрюшинная тампонада, нестабильные переломы таза с нестабильной гемодинамикой, тактика лечения нестабильных повреждений таза, внеочаговый остеосинтез.

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Biomechanical aspects of pelvic ring reconstruction techniques: Evidence today

Cited by 38 publications

References 79 publications

Mechanical testing of a device for subcutaneous internal anterior pelvic ring fixation versus external pelvic ring fixation

Mechanical testing of a device for subcutaneous internal anterior pelvic ring fixation versus external pelvic ring fixation

Navigation‐aided visualization of lumbosacral nerves for anterior sacroiliac plate fixation: a case report

Blood Loss in Pelvic Fractures

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