Hip Pelvis.  2014 Jun;26(2):79-83. 10.5371/hp.2014.26.2.79.

Treatment of Unstable Pelvic Ring Injuries

• Kim WY

• KMID: 2054168
• DOI: http://doi.org/10.5371/hp.2014.26.2.79

Abstract

Pelvic fractures are classified according to the stability of the pelvic ring. Unlike stable pelvic fractures, which heal without complications, unstable fractures may lead to pelvic ring deformities, which cause severe complications. An orthopedic surgeon must determine the stability of the pelvic ring by radiography and physical examination of the patient in order to ensure early, prompt treatment. This article includes anatomy of the pelvic ring, classification of pelvic ring injuries, its treatment algorithm, and corresponding cases involving unstable pelvic ring injury.

Keyword

Pelvis; Pelvic bones; Therapeutics; Clinical protocols; Review literature as topic

MeSH Terms

Classification
Clinical Protocols
Congenital Abnormalities
Humans
Orthopedics
Pelvic Bones
Pelvis
Physical Examination
Radiography
Review Literature as Topic

Figure

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  Fig. 1 Two guided pins behind the iliac cortical density.

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  Fig. 2 Satisfactory reduction and early mobilization was performed with percutaneous iliosacral fixation and an anteroinferior external fixator.

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  Fig. 3 A 3-dimensional computed tomography image (A) of a severely comminuted pelvic fracture and a postoperative radiograph (B) showing open reduction and rigid internal fixation with plates and screws.

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  Fig. 4 Preoperative (A) and postoperative (B) radiographs show rigid fixation of the pelvic ring by anterior plating with an ilioinguinal approach and percutaneous iliosacral screws on S1and 2.

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