J Korean Fract Soc.  2013 Oct;26(4):343-347. 10.12671/jkfs.2013.26.4.343.

Reduction and Stabilization of Pelvic Ring Injury

• Park KC

• KMID: 2183838
• DOI: http://doi.org/10.12671/jkfs.2013.26.4.343

Abstract

No abstract available.

Figure

• 

  Fig. 1 A 42-year-old man sustained a type B pelvic bone fracture with symphysis pubis dislocation. (A) The symphysis pubis was displaced 2 cm initially. (B) It was increased to 2.8 cm two days after injury. (C) A 4.5 mm 4 hole limited contact-dynamic compression plate was fixed after reduction of symphysis pubis.

• 

  Fig. 2 (A) A 53-year-old man sustained a type B pelvic bone fracture with open wound in the inguinal area. (B) Supra-acetabular external fixation was applied with reduction of the symphysis pubis.

• 

  Fig. 3 (A) Pelvis anteroposterior radiograph and (B) axial computed tomography scan demonstrating both small superior crescent fractures. (C) Both crescent fractures were fixed with iliosacral screws with anterior plating.

• 

  Fig. 4 (A) Axial and (B) sagittal reconstruction computed tomography scan, demonstrating spinal pelvic dissociation from a sacral fracture at S1/S2. (C) A bilateral sacroiliac screw was fixed after closed reduction and anterior plating.

Reference

1. Carlson DA, Scheid DK, Maar DC, Baele JR, Kaehr DM. Safe placement of S1 and S2 iliosacral screws: the "vestibule" concept. J Orthop Trauma. 2000; 14:264–269.

2. Day AC, Kinmont C, Bircher MD, Kumar S. Crescent fracture-dislocation of the sacroiliac joint: a functional classification. J Bone Joint Surg Br. 2007; 89:651–658.

3. Gänsslen A, Pohlemann T, Krettek C. A simple supraacetabular external fixation for pelvic ring fractures. Oper Orthop Traumatol. 2005; 17:296–312.

4. Guthrie HC, Owens RW, Bircher MD. Fractures of the pelvis. J Bone Joint Surg Br. 2010; 92:1481–1488.

5. Lefaivre KA, Starr AJ, Reinert CM. Reduction of displaced pelvic ring disruptions using a pelvic reduction frame. J Orthop Trauma. 2009; 23:299–308.

6. Letournel E. Surgical fixation of displaced pelvic fractures and dislocations of the symphysis pubis (excluding acetabular fractures) (author's transl). Rev Chir Orthop Reparatrice Appar Mot. 1981; 67:771–782.

7. Metze M, Tiemann AH, Josten C. Male sexual dysfunction after pelvic fracture. J Trauma. 2007; 63:394–401.

8. Nork SE, Jones CB, Harding SP, Mirza SK, Routt ML Jr. Percutaneous stabilization of U-shaped sacral fractures using iliosacral screws: technique and early results. J Orthop Trauma. 2001; 15:238–246.

9. Poelstra KA, Kahler DM. Supra-acetabular placement of external fixator pins: a safe and expedient method of providing the injured pelvis with stability. Am J Orthop (Belle Mead NJ). 2005; 34:148–151.

10. Routt ML Jr, Simonian PT, Grujic L. The retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions: a new technique. J Orthop Trauma. 1995; 9:35–44.

11. Schildhauer TA, Bellabarba C, Nork SE, Barei DP, Routt ML Jr, Chapman JR. Decompression and lumbopelvic fixation for sacral fracture-dislocations with spino-pelvic dissociation. J Orthop Trauma. 2006; 20:447–457.

12. Simonian PT, Schwappach JR, Routt ML Jr, Agnew SG, Harrington RM, Tencer AF. Evaluation of new plate designs for symphysis pubis internal fixation. J Trauma. 1996; 41:498–502.

13. Simpson LA, Waddell JP, Leighton RK, Kellam JF, Tile M. Anterior approach and stabilization of the disrupted sacroiliac joint. J Trauma. 1987; 27:1332–1339.

14. The Korean Fracture Society. Principles of fracture management. 1st ed. Seoul: E-public Inc;2013. p. 559–564.

15. Yinger K, Scalise J, Olson SA, Bay BK, Finkemeier CG. Biomechanical comparison of posterior pelvic ring fixation. J Orthop Trauma. 2003; 17:481–487.