External fixation of unstable pelvic ring fractures: comparative rigidity of some current frame configurations

1982 ◽  
Vol 20 (6) ◽  
pp. 727-733 ◽  
Author(s):  
T. D. Brown ◽  
J. Patterson Stone ◽  
J. H. Schuster ◽  
D. C. Mears
Keyword(s):  
External Fixation ◽  
Pelvic Ring ◽  
Current Frame ◽  
Pelvic Ring Fractures

Comparative Study of the Orthofix and Pittsburgh Frames for External Fixation of Unstable Pelvic Ring Fractures

1988 ◽  
Vol 2 (2) ◽  
pp. 130-138 ◽  
Author(s):  
Alexander L. Bell ◽  
Richard A. Smith ◽  
Thomas D. Brown ◽  
James V. Nepola
Keyword(s):  
Comparative Study ◽  
External Fixation ◽  
Pelvic Ring ◽  
Pelvic Ring Fractures

Supraacetabular External Fixation for Pelvic Ring Fractures

2006 ◽  
Vol 32 (5) ◽  
pp. 489-499 ◽  
Author(s):  
Axel Gänsslen ◽  
Tim Pohlemann ◽  
Christian Krettek
Keyword(s):  
External Fixation ◽  
Pelvic Ring ◽  
Pelvic Ring Fractures

Pelvic ring fractures: External fixation comparative numerical structural analysis

2014 ◽  
Author(s):  
Shady Ali ◽  
Matteo Giachino ◽  
Andrea Bonani ◽  
Alessandro Aprato ◽  
S. Riyahi-Alam ◽  
...  
Keyword(s):  
Structural Analysis ◽  
External Fixation ◽  
Pelvic Ring ◽  
Pelvic Ring Fractures

scholarly journals Surgical treatment of unstable pelvic ring fractures

2019 ◽  
Vol 76 (1) ◽  
pp. 36-41
Author(s):  
Miroslav Kezunovic ◽  
Nikola Bulatovic
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Internal Fixation ◽  
External Fixation ◽  
Pelvic Ring ◽  
Early Mobilization ◽  
Skeletal Traction ◽  
Pelvic Ring Injuries ◽  
Pelvic Ring Fractures ◽  
Stable Osteosynthesis

Background/Aim. Pelvic ring fractures are complex injuries and are often associated with internal organs injuries. These injuries require rapid and accurate diagnosis and in some cases one or more surgical interventions. The aim of this retrospective study is to describe the indications and outcomes of surgical treatment of pelvic ring injuries with the emphasis on anatomical reconstruction and stable osteosynthesis as a prerequisite for early mobilization and more favorable functional outcomes. Methods. In the period from 2006 to 2012, fifty-five patients with pelvic ring injuries with or without acetabular fractures were analyzed. The average age of all patients was 36 years. Forty-one patients were treated with operational open reduction and internal fixation (ORIF) while nine of them were treated nonoperatively (bed rest, skeletal traction and external fixation). Results. All operated patients were treated within 3- 24 days with ORIF, stable osteosynthesis and early mobilization which resulted in avascular necrosis (AVN) of the femoral head in two cases. AVN of the femoral head was noted in five cases in combined and isolated pelvic ring injuries and acetabulum which were treated with skeletal traction. Neurological deficit was recorded in three patients treated with conservative methods while two patients underwent ORIF. Deep vein thrombosis (DVT) was noted in two patients and pulmonary thromboembolism appeared in one patient 23 days after surgical intervention. Two infections occurred around Steinman pins in the patients who had the definitive treatment performed with external fixator. In one patient treated with ORIF a superficial infection occurred and was treated with antibiotics. The functional results were evaluated based on Merle d'Aubign? score. The results of the radiography treatment were analyzed according to Slatis. Conclusion. Strict application of rational criteria and surgical technique with stable internal fixation with early mobilization provide significantly better outcomes of these injuries in relation to non surgical treatment or treatment with definitive external fixation.

Insufficiency Fractures vs. Low-Energy Pelvic Ring Fractures – Epidemiological, Diagnostic and Therapeutic Characteristics of Fragility Fractures of the Pelvic Ring

2021 ◽  
Author(s):  
Manuel Sterneder ◽  
Patricia Lang ◽  
Hans-Joachim Riesner ◽  
Carsten Hackenbroch ◽  
Benedikt Friemert ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Diagnostic Testing ◽  
Insufficiency Fracture ◽  
Fragility Fractures ◽  
Relative Increase ◽  
Trauma Centre ◽  
Low Energy ◽  
Insufficiency Fractures ◽  
Type Iv ◽  
Pelvic Ring Fractures

Abstract Background Fragility fractures of the pelvis (FFP) encompass two fracture entities: fracture after low-energy trauma and insufficiency fracture without trauma. It is unclear whether the two subgroups differ in terms of diagnosis and therapy. The aim of this retrospective study was to evaluate insufficiency fractures with regard to defined parameters and to compare specific parameters with the fractures after low-energy trauma. Patients and Methods In the period from 2008 to 2017, 203 patients with FFP were recorded at our clinic (Level 1 Trauma Centre DGU, SAV approval). Of these, 25 had an insufficiency fracture and 178 had a pelvic ring fracture after low-energy trauma. Epidemiological, diagnostic and therapeutic parameters were examined. Results There was a relative increase in the insufficiency fracture within the FFP (2008 – 2009: 5.0% vs. 2015 – 2017: 17.8%). In these patients, osteoporosis tended to be more pronounced than in patients after low-energy trauma (t-value: − 3.66 vs. − 3.13). The diagnosis of insufficiency fractures showed increased use of MRI and DECT (60.9% vs. 26.0%) and a high proportion of type IV fractures after FFP (40.0% vs. 7.9%). In terms of therapy, surgical treatment of the insufficiency fracture was sought more often (68,2% vs. 52,1%), with a tendency towards increased use of combined osteosynthesis procedures (14.3% vs. 7.6%). Conclusion We were able to show that as the number of cases increases, the insufficiency fracture becomes more important within FFP. If these patients tend to have more pronounced osteoporosis, particular attention should be paid to the diagnosis and adequate therapy of the osteoporosis, especially in the case of an insufficiency fracture. In addition to the increased diagnostic testing using MRI and DECT to detect oedema and the increased surgical therapy for this type of fracture, it is also noteworthy that the insufficiency fracture can cause higher-grade fractures after FFP.

scholarly journals Low-Energy Pelvic Ring Fractures: A Care Conundrum

2021 ◽  
Vol 12 ◽  
pp. 215145932098540
Author(s):  
Bailey R. Abernathy ◽  
Lisa K. Schroder ◽  
Deborah C. Bohn ◽  
Julie A. Switzer
Keyword(s):  
Acute Care ◽  
Patient Population ◽  
Pelvic Ring ◽  
Fracture Prevention ◽  
Low Energy ◽  
Care Pathways ◽  
Secondary Fracture ◽  
Secondary Fracture Prevention ◽  
Pelvic Ring Fractures ◽  
Rehabilitative Care

Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. Results: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. Conclusions: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary.

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