Plate Fixation for Sacroiliac Joint Separation Through the Anterior Approach

2002 ◽  
Vol 37 (4) ◽  
pp. 478 ◽  
Author(s):  
Byung Woo Min ◽  
Si Hyun Jeon ◽  
Tae Youn Kim
Keyword(s):  
Sacroiliac Joint ◽  
Anterior Approach ◽  
Plate Fixation ◽  
Joint Separation

Combined peripartal pubic symphysis and sacroiliac joint separation

2021 ◽  
Vol 86 (1) ◽  
pp. 30-35
Author(s):  
Tomáš Hriň ◽  
◽  
Radomír Gajdoš ◽  
Karol Dókuš
Keyword(s):  
Sacroiliac Joint ◽  
Pubic Symphysis ◽  
Joint Separation

scholarly journals Anterior approach to the sacroiliac joint for pelvic ring fractures: Technical note

2020 ◽  
Vol 106 (5) ◽  
pp. 845-847
Author(s):  
Guillaume Riouallon ◽  
Lucas Chanteux ◽  
Peter Upex ◽  
Mourad Zaraa ◽  
Pomme Jouffroy
Keyword(s):  
Sacroiliac Joint ◽  
Anterior Approach ◽  
Pelvic Ring ◽  
Technical Note ◽  
Pelvic Ring Fractures

scholarly journals A biomechanics study on ligamentous injury in anterior posterior compression type II pelvic injury

2020 ◽  
Author(s):  
jianzhong kong ◽  
Yupeng Chu ◽  
Chengwei Zhou ◽  
shuaibo Sun ◽  
guodong Bao ◽  
...  
Keyword(s):  
Sacroiliac Joint ◽  
Rotation Angle ◽  
External Rotation ◽  
Pubic Symphysis ◽  
Pelvic Injury ◽  
Pelvic Bone ◽  
Type Ii ◽  
Significant Difference ◽  
Joint Separation ◽  
Anterior Posterior

Abstract Background: Anterior posterior compression (APC) type II pelvis fracture is caused by the destruction of pelvic ligaments. This study aims to explore ligaments injury in APC type II pelvic injury.Method: Fourteen human cadaveric pelvis samples with sacrospinous ligament (SPL), sacrotuberous ligament (SBL), anterior sacroiliac ligament (ASL), and partial bone retaining unilaterally were acquired for this study. They were randomly divided into hemipelvis restricted and unrestricted groups. We recorded the separation distance of the pubic symphysis and anterior sacroiliac joint, external rotation angle, and force when ASL ruptured. We observed the external rotation damage to the pelvic bone and ligaments.Result: When ASL failed, there was no significant difference in pubic symphysis separation (28.6 ± 8.4 mm to 23.6 ± 8.2 mm, P = 0.11) and anterior sacroiliac joint separation (11.4 ± 3.8 mm to 9.7 ± 3.9 mm, P = 0.30) between restricted and unrestricted groups. The external rotation angle (33.9 ± 5.5° to 48.9 ± 5.2°, P < 0.01) and force (553.9 ± 82.6 N to 756.6 ± 41.4 N, P < 0.01) were significantly different. Pubic symphysis separation between two groups ranged from 14 mm to 40 mm. In the restricted group, both SBL and SPL were injured. SPL ruptured first, and then SBL and the interosseous sacroiliac ligament were damaged while the posterior ligament remained unharmed. In the unrestricted group, interosseous sacroiliac ligament and posterior sacroiliac ligaments were damaged, while SBL and SPL were not. When the ASL, SBL, and SPL all failed, pubic symphysis and anterior sacroiliac joint separation between two groups increased significantly (from 28.6 ± 8.4 to 42.0 ± 7.6 mm, 11.4 ± 3.8 to 16.7 ± 4.2 mm respectively, all P < 0.05).Conclusion: Pelvic external rotation injury is either hemipelvic restricted or unrestricted, which can result in different outcomes. When the ASL ruptures, the unrestricted group needs greater external rotation angle and force, without SBL or SPL injury, while both SBL and SPL were injured in another group. When ASL fails in two groups, pubic symphysis separation fluctuates considerably. Finally, when the ASL ruptures, SBL and SPL may be undamaged.

New technique and strategy for posterior column, posterior wall, ischium, and quadrilateral plate fixation from the anterior approach for acetabular fractures

2020 ◽  
Author(s):  
Kunihiro Asanuma ◽  
Gaku Miyamura ◽  
Yoshiaki Suzuki ◽  
Haruhiko Satonaka ◽  
Kakunoshin Yoshida ◽  
...  
Keyword(s):  
Anterior Approach ◽  
Plate Fixation ◽  
Posterior Wall ◽  
Ischial Tuberosity ◽  
Posterior Column ◽  
Joint Surface ◽  
Acetabular Fractures ◽  
Quadrilateral Plate ◽  
Screw Length ◽  
Considerable Problem

Abstract BackgroundAcetabular fractures are relatively common, but management of the ischial fragment is a considerable problem when determining whether to use only the anterior approach or to add the posterior approach for anterior column and posterior hemitransverse acetabular fractures, T-type fractures, and both column fractures. This study is the first to demonstrate how to screw or drill around the quadrilateral space, posterior column, posterior wall, and near the ischial tuberosity from the anterior approach by a novel "sleeve guide technique". MethodsFirst, a nozzle, drill, depth gauge, and driver were prepared from DepuySynthes. Periosteum of the internal obturator muscle was detached from the quadrilateral plate to near the ischial tuberosity, while paying attention not to injure Alcock’s canal. The skin was cut about 1.5 cm opposite to the side of the fracture, and the nozzle was inserted as an external sleeve. Drilling, measuring screw length, and screwing were performed through this nozzle. With this technique, the approach angles of drilling and screwing to the posterior wall and ischium were inclined, and plating from the ischium to the ilium could be performed from the anterior approach. ResultsTwo cases are presented. Case 1 was a 63-year-old man who had a left both column fracture with a free bone fragment of the joint surface. After plating a 14-hole plate from the pubis to the ilium, a bent 14-hole plate was placed at the quadrilateral space as a buttress, and a screw was inserted from the posterior wall to the ilium using sleeve guide technique. Case 2 was a 66-year-old man with a quadrilateral fracture. After a 13-hole plate was bent and placed at the quadrilateral space, screws were inserted to the ischium and posterior wall using sleeve guide technique ConclusionsSleeve guide technique is very easy, useful, and safe to drill and insert screws to the quadrilateral space, posterior wall, and near the ischial tuberosity from the anterior approach. This technique can be used for simple drilling and screwing of a small T buttress plate held by a ball spike at the quadrilateral space from the surgical window. We believe that these techniques lead to new strategies for acetabular fractures.

Anatomical evidence for the anterior plate fixation of sacroiliac joint

2018 ◽  
Vol 23 (1) ◽  
pp. 132-136 ◽  
Author(s):  
Zhibiao Bai ◽  
Shichang Gao ◽  
Jia Liu ◽  
Anlin Liang ◽  
Weihua Yu
Keyword(s):  
Sacroiliac Joint ◽  
Plate Fixation ◽  
Anterior Plate ◽  
Anatomical Evidence
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