Today’s Role of External Fixation in Unstable and Complex Pelvic Fractures

Vécsei, V.; Negrin, Lukas Leopold; Hajdu, Stefan

doi:10.1007/s00068-010-1048-7

Cited by 15 publications

(9 citation statements)

References 23 publications

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“…Immobilizing pain is the most significant symptom, and hemodynamic instability is not present. For this reason, emergency stabilization with pelvic sheets, binders, C-clamps, or external fixators is not necessary [ 33 , 34 ].…”

Section: Treatment Strategiesmentioning

confidence: 99%

Surgical management of osteoporotic pelvic fractures: a new challenge

Rommens

Wagner

Hofmann

2012

Eur J Trauma Emerg Surg

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The number and variety of osteoporotic fractures of the pelvis are rapidly growing around the world. Such fractures are the result of low-impact trauma. The patients have no signs of hemodynamic instability and do not require urgent stabilization. The clinical picture is dominated by immobilizing pain in the pelvic region. Fractures may be located in both the ventral and the dorsal pelvic ring. The current well-established classification of pelvic ring lesions in younger adults does not fully reflect the criteria for osteoporotic and insufficiency fractures of the pelvic ring. Most osteoporotic fractures are minimally displaced and do not require surgical therapy. However, in some patients, an insidious progress of bone damage leads to complex displacement and instability. Therefore, vertical sacral ala fractures, fracture dislocations of the sacroiliac joint, and spinopelvic dissociations are best treated with operative stabilization. Angular stable bridge plating, the insertion of a transsacral positioning bar, and iliolumbar fixation are operative techniques that have been adapted to the low bone mineral density of the pelvic ring and the high forces acting on it.

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Section: Treatment Strategiesmentioning

confidence: 99%

Surgical management of osteoporotic pelvic fractures: a new challenge

Rommens

Wagner

Hofmann

2012

Eur J Trauma Emerg Surg

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“…[1] Post-traumatic bowel entrapment was first described in 1907. [3] Since then, there have been only occasional reports in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…The use of an external fixator for the initial and, in some cases, the definitive fixation of unstable, complex pelvic injuries with hemodynamic instability is effective for multiply injured patients. [1]…”

Section: Introductionmentioning

confidence: 99%

Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures

Bini

Viora

et al. 2013

J Emerg Trauma Shock

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The use of external fixation for the initial treatment of unstable, complex pelvic injuries with hemodynamic instability remains an effective treatment for multiply injured patients. Bowel entrapment within a pelvic fracture is a rarely reported, potentially fatal complication. Here, we report a polytrauma patient with pelvic fractures who developed an intestinal obstruction after an external fixation. At an explorative laparotomy, we found an ileum segment trapped in the sacral fracture. Reported cases of bowel entrapment in pelvic fractures, especially in sacral fractures, are exceedingly rare. The diagnosis is often delayed due to difficulty distinguishing entrapment from the more common adynamic ileus. In conclusion, clinicians and radiologists should be aware of this potentially lethal complication of pelvic fractures treatment. To exclude bowel entrapment, patients with persistent ileus or sepsis should undergo early investigations.

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“…In a study, the outcome of external fixator in pelvic fractures was found to be satisfactory (anatomical and functional outcome) achieved in 16 of 20 cases (80%). 6 Although the type of fracture, the quality of the bone, the fixator design of the , the patient's habitus, the number and size of the pins, quality, maintenance of the technique, and other factors all influence external fixation stability. 7 The study has been conducted to assess the magnitude of outcome of external fixator in pelvic fracture as local data is not adequate on this topic, so this study will generate local data and if the outcomes found to be satisfactory then the same modality was used in such cases.…”

Section: Introductionmentioning

confidence: 99%

The Radiological and Functional Outcomes of Pelvic Fractures Treated by External Fixator

Bux¹,

din²,

Azeem³

2021

PJMHS

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Objective: To determine the radiological and functional outcomes of pelvic fracture’s patients treated by external fixator. Methods: A case series was done at orthopaedics unit of Jinnah Postgraduate Medical Center in Karachi from January to July 2013. All patients with either gender age range from 20 to 50 years pelvic fracture of type A2 or B of less than 1 week duration were enrolled in this study. Patients were given spinal anaesthesia and the A.O external fixator was applied. Patients were followed for 3 months for final outcome. To assess the radiological outcome X-Rays pelvis AP view was done and for functional outcome was assessed in terms of severity of pain using Visual Analogue Score. The presence of acceptable radiological and functional outcome was taken as a satisfactory outcome as per operational definition. Results: Mean age of the patients was 36.39±7.89 years, duration of symptoms 3.58±1.01 days, weight 67.70±7.67Kg, Height 1.56±0.058-meter, average BMI 23.36±4.05 Kg/m2. There were 65 (67%) males and 32(33%) females. Acceptable radiological outcome was found in 89 (91.80%) patients while acceptable functional outcome was found in 76 (78.40%) patients. A satisfactory outcome was found in 73(75.30%) patients. Conclusion: Radiological and functional outcome in patients with pelvic fractures treated by external fixator was found to be acceptable in most of the patients. Keywords: Pelvic Fracture, satisfactory outcome, radiological and functional outcomes, external fixator

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Today’s Role of External Fixation in Unstable and Complex Pelvic Fractures

Abstract: The use of the external fixator for the initial and in some cases for the definitive fixation of unstable and complex pelvic injuries with hemodynamic instability is still a successful treatment of multiply injured patients.

Cited by 15 publications

References 23 publications

Surgical management of osteoporotic pelvic fractures: a new challenge

Surgical management of osteoporotic pelvic fractures: a new challenge

Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures

The Radiological and Functional Outcomes of Pelvic Fractures Treated by External Fixator

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