Clinical observation of 62 of the pelvic bone fractures

1968 ◽  
Vol 3 (3) ◽  
pp. 7
Author(s):  
Hong Eun Lee ◽  
Chae Joon Lim
2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Rayan Elkattah ◽  
Brooke Foulk

Albeit rare, the majority of identified bone lesions in pregnancy spare the pelvis. Once encountered with a pelvic bone lesion in pregnancy, the obstetrician may face a challenging situation as it is difficult to determine and predict the effects that labor and parturition impart on the pelvic bones. Bone changes and pelvic bone fractures have been well documented during childbirth. The data regarding clinical outcomes and management of pregnancies complicated by pelvic ABCs is scant. Highly suspected to represent an aneurysmal bone cyst, the clinical evaluation of a pelvic lesion in the ilium of a pregnant individual is presented, and modes of delivery in such a scenario are discussed.


2020 ◽  
Vol 26 (1) ◽  
pp. 14-18
Author(s):  
Filip Daniel ◽  
Sarbu Vasile

Abstract Objective: Traumatic retroperitoneal hematoma (RPH) is an underdiagnosed entity, turned to have a high mortality rate, when is not earlier diagnosed. Our aim was to analyze our experiences in patients with traumatic RPH complicated with bone fractures, and highlight the problems in diagnosis and treatment to facilitate the surgeon’s decision. Methods: In this retrospective study, all cases who presented to the emergency room (ER) and/or admitted to our center with bone fractures complicated with RPH from January 2016 to December 2019 were included (4-years data). Data collected included age, hematoma zones, fracture production mechanisms, mortality, surgical intervention, bones lesions frequency, frequency of pelvic bone injuries, complications and biochemical and hematological analysis (e.g. hemoglobin (Hb), hematocrit (Ht), platelets (PLT), leukocytes (Leu), aspartate aminotransferase level (AST), alanine aminotransferase level (ALT) and creatinine (Cr). All RPHs were diagnosed using computed tomography scan. Results: A total number of 173 RPH cases with bone fractures were included with a mean age of 48.80±1.40. Zone II and III (lateral and pelvic hematoma) bleed were the most common type of RPH. The main fracture production mechanism was road accident (n=110). The bone lesions frequency besides pelvis, was seen in lumbar vertebral fractures (e.g. 19 cases in 2016, 38 cases in 2017, 45 in 2018 and 40 in 2019), comparing with the other fractures, without any statistical significance. An important significance was seen for frequency of pelvic bone injuries, when comparing 2016 with 2018 year (p=0.040). Furthermore, the complications seem to have a statistical significance when 2016 year was compared with all the other years (p=0.030, p=0.035, p=0.052). Regarding the biochemical and hematological analysis, a statistical significance was seen at Hb (when 2016 was compared with 2017 year, p=0.007 and 2018 year, p=0.001), Ht (when 2016 was compared with 2017, p=0.054 and 2018, p=0.002), PLT (when 2016 was compared with 2018 year, p=0.0004, and 2019 year, p=0.002) and ALT (when 2016 was compared with 2017 year, p=0.026, and 2018 year, p=0.026). The highest mortality was registered in 2019 (n=11), being statistically significant in comparison with 2016 year (p=0.030). About 109 patients were treated conservatively, and 64 by surgical interventions. Conclusion: There is a lack of evidence for the best management in RPH, conservative approaching being reserved only for patients who are stable. Therefore, traumatic RPH complicated with bone fractures, especially lumbar vertebral fractures, represent a life-threatening condition, early diagnosis and correct treatment is of upmost importance.


2010 ◽  
Vol 14 (4) ◽  
pp. 221-226 ◽  
Author(s):  
Dong Won Kim ◽  
Jeong Yeol Seo ◽  
Moo Eob Ahn ◽  
Jae Sung Lee ◽  
Tae Hun Lee ◽  
...  

Author(s):  
I. Gorodnicheva ◽  
E. Soldatova ◽  
E. Kolomiets

The different aspects of the consequences of pelvic fractures in pregnant women are of scientific and practical interest not only for orthopedic traumatologists, but also for obstetricians and gynecologists. 


1983 ◽  
Vol 18 (1) ◽  
pp. 67
Author(s):  
Jang Seok Choi ◽  
Young Goo Lee ◽  
Hyon Oh Cho ◽  
Pan Suck Kim

1996 ◽  
Vol 3 (1) ◽  
pp. 52-56
Author(s):  
D. I. Cherkes-Zade ◽  
A. F. Lazarev

The authors present their experience in the application of external fixation devices for the treatment of 96 patients with multiple and combined pelvic bones injuries. It is shown that treatment with use of both pivot and pin devices exerts powerful antishock effect, allows to shorten the duration of bed rest and early activate the patient. Favourable results were achieved in all cases.


2021 ◽  
Author(s):  
Chul-Ho Kim ◽  
Jung Jae Kim ◽  
Ji Wan Kim

Abstract Background: This study aimed to compare the clinical outcomes and complications between two minimally invasive surgical techniques: percutaneous transiliac plate fixation and iliosacral (IS) screw fixation for the treatment of Tile C-type pelvic bone fractures.Materials and Methods: We retrospectively reviewed the data of 77 consecutive patients with Tile C pelvic ring injuries who underwent either percutaneous transiliac plate fixation or IS screw fixation in a single academic center between November 2007 and January 2018. Posterior plating was indicated for those with sacral dysmorphism or bilateral sacral fractures, including spinopelvic dissociation. We recorded patients’ demographics, surgery-related data, and postoperative surgical outcomes and compared the incidence of complications and revision surgery rates between the two groups.Results: Overall, 14 patients were included in the plate group, while 63 were included in the IS screw fixation group. No significant differences were observed in the patients’ demographics between the two groups except for a longer interval from injury to surgery (13.5 days vs. 5.4 days, P = 0.001). Both groups acquired fracture union in all cases. There was one case of infection requiring surgical debridement in the plating group. Notably, nerve injury (n = 3) and implant loosening (n = 5) occurred in the IS screw group, but the difference was not significant.Conclusions: Both percutaneous posterior transiliac plating and IS screw fixation in patients with Tile C-type pelvic bone fractures showed good results. We recommend IS screw fixation as the primary treatment and propose posterior plating as treatment for sacral dysmorphism and bilateral sacral alar fractures in patients with spinopelvic dissociation.


1982 ◽  
Vol 17 (4) ◽  
pp. 643 ◽  
Author(s):  
Jae In Ahn ◽  
Koon Soon Kang ◽  
Hak Yoon Oh ◽  
Yung Kun Choi ◽  
Sang Ik Han

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