J Korean Fract Soc.  2014 Apr;27(2):151-156. 10.12671/jkfs.2014.27.2.151.

Surgical Correction and Osteosynthesis for Cranial Displaced Pelvic Nonunion: Technical Note and Two Cases Report Regarding Anterior Correction and Osteosynthesis Following Posterior Release

• Choi KC
• Ha JY
• Kim WY

• KMID: 1703114
• DOI: http://doi.org/10.12671/jkfs.2014.27.2.151

Abstract

Nonunion of an unstable pelvic fracture with cranial displacement pelvic surgery is technically difficult due to a large amount of bleeding and the risk of nerve damage. In addition, surgical correction of leg length discrepancy by reduction of a dislocated sacroiliac joint is in high demand. Nevertheless, when a patient is strongly disabled by a pelvic deformity, surgical correction may be necessary. Two patients with pelvic deformity were treated successfully by surgical correction and osteosynthesis.

Keyword

Pelvic bones; Leg length unequiality; Ununited fractures

MeSH Terms

Congenital Abnormalities
Fractures, Ununited
Hemorrhage
Humans
Leg
Pelvic Bones
Sacroiliac Joint

Reference

1. Kellam JF, McMurtry RY, Paley D, Tile M. The unstable pelvic fracture. Operative treatment. Orthop Clin North Am. 1987; 18:25–41.

2. Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg Br. 1988; 70:1–12.

3. van den Bosch EW, van Zwienen CM, van Vugt AB. Fluoroscopic positioning of sacroiliac screws in 88 patients. J Trauma. 2002; 53:44–48.

4. Matta JM, Dickson KF, Markovich GD. Surgical treatment of pelvic nonunions and malunions. Clin Orthop Relat Res. 1996; (329):199–206.

5. Mears DC, Velyvis J. Surgical reconstruction of late pelvic post-traumatic nonunion and malalignment. J Bone Joint Surg Br. 2003; 85:21–30.

6. Rousseau MA, Laude F, Lazennec JY, Saillant G, Catonné Y. Two-stage surgical procedure for treating pelvic malunions. Int Orthop. 2006; 30:338–341.