You need to sign in or sign up before continuing.


  • Oper Orthop Traumatol · Sep 2005

    [A simple supraacetabular external fixation for pelvic ring fractures].

    • Axel Gänsslen, Tim Pohlemann, and Christian Krettek.
    • Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, D-30625 Hannover, Germany. gaensslen.axel@mh-hannover.de
    • Oper Orthop Traumatol. 2005 Sep 1;17(3):296-312.

    ObjectiveClosed reduction and maintenance of pelvic ring injuries by external stabilization.IndicationsEmergency management of unstable type B and type C pelvic ring fractures. Definitive treatment of type B injuries. Definitive treatment of the anterior pelvic ring in type C injuries with transpubic instability after posterior internal stabilization. Adjunct stabilization of internal fixation. Stabilization of pelvic ring fractures in children.ContraindicationsPoor general condition. Local soft-tissue damage. Local infection.Surgical TechniqueBilateral percutaneous insertion of Schanz screws into the supraacetabular area of iliac bone. Closed reduction and stabilization of the pelvic ring by compression and application of a connecting rod under image intensification.Postoperative ManagementDepending on the patient's condition and the degree of pelvic instability, a change to an open procedure may become necessary. Mobilization of the patient with partial weight bearing (one fifth of body weight) on the side of the injured posterior pelvic ring using forearm crutches, irrespective of the degree of stability of the pelvis.ResultsRetrospective analysis of 64 supraacetabular external fixator applications to stabilize the anterior pelvic ring in 20 type B and 44 type C injuries. Iatrogenic lesions of the lateral femoral cutaneous nerve: 4.5%; all sensory disturbances completely reversed within 1 year. No pin site infection. In two patients (3%) primary perforation of the Schanz screw into the small pelvis not necessitating any treatment. No secondary displacements of the anterior or posterior pelvic ring in type B injuries nor for type C injuries, sacral fractures associated with fractures of the pubic ramus. One pseudarthrosis of the pubic and ischial rami requiring surgical treatment.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…