J Korean Soc Traumatol.  2019 Mar;32(1):51-59. 10.20408/jti.2018.003.

Combination of Anterior and Posterior Subcutaneous Internal Fixation for Unstable Pelvic Ring Injuries: The “Hula Hoop Technique”

Affiliations
  • 1Federal University of São Paulo, São Paulo, Brazil.
  • 2Federal University of Minas Gerais, Belo Horizonte, Brazil. robinsonestevespires@gmail.com

Abstract

Unstable pelvic ring lesions are usually treated with internal fixation. In patients presenting clinical i nstability or soft tissue complication r isk, external fixation is a safe treatment option. However, pin tract infection, insufficient biomechanical properties, difficulty sitting and changing decubitus are important drawbacks related to the treatment. The present study reports the association of anterior and posterior subcutaneous internal fixation by applying spine-designed implants on the pelvic ring disruption: supra-acetabular pedicle screws with an interconnecting rod (Infix), plus posterior transiliac fixation with the same system, which the authors have named the "Hula Hoop Technique".

Keyword

Pelvis; Fractures; Minimally Invasive; Fracture fixation; Unstable pelvic injuries

MeSH Terms

Fracture Fixation
Humans
Pedicle Screws
Pelvis
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