13-Year experience in external fixation of the pelvis: complications, reduction and removal

Mitchell, Phillip M.; Corrigan, Chad; Patel, Neel; Silverberg, Arnold; Greenberg, Sarah E.; Thakore, Rachel V.; Obremskey, William T.; Ehrenfeld, Jesse M.; Evans, Jason M.; Sethi, Manish K.

doi:10.1007/s00068-015-0499-7

Cited by 16 publications

(4 citation statements)

References 25 publications

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“…EF is an osteosynthesis technique characterized by its minimal invasivity, relative simplicity of application, and lower cost compared to internal osteosynthesis implants ( 26 , 27 ). To the best of our knowledge, no previous studies have described the use of EF for sacral fractures in the veterinary literature.…”

Section: Discussionmentioning

confidence: 99%

External Fixation for Fracture Stabilization of the Sacrum in 15 Dogs

Flores,

Rovesti,

Rodriguez-Quiros

2023

Front. Vet. Sci.

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This study aimed to evaluate the feasibility, complications, and outcomes of external fixation (EF) for the treatment of sacral fractures in dogs, either as a primary fixation system or as a complementary technique. A total of 15 dogs with sacral fractures were surgically treated using different EF configurations, either as primary or secondary stabilization. The results were evaluated for the extent of fracture reduction, stability during treatment, complications, and bone healing. In most cases, the outcomes were excellent in terms of bone healing, neurological conditions, and pain assessment. The mean bone healing time was 9.45 ± 5.66 weeks. One (6.66%) patient presented a complication due to the technique. In conclusion, the use of EF should be considered for the stabilization of sacral fractures because of its minimal invasiveness, stability, and ease of application.

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Section: Discussionmentioning

confidence: 99%

External Fixation for Fracture Stabilization of the Sacrum in 15 Dogs

Flores,

Rovesti,

Rodriguez-Quiros

2023

Front. Vet. Sci.

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“…17 Pin removal can often be accomplished in the clinic setting, although removal in the operating room is still preferred at many centers. 18…”

Section: Supraacetabular Pinsmentioning

confidence: 99%

“…20 More recent studies on the use of anterior external fixation supplemented by iliosacral screws reported much lower complication rates. Mitchell et al 18 reported the maintenance of reduction in 86.5% of patients after frame removal with an average change in symphyseal diastasis of only 2.8 mm. Tosounidis et al 17 also reported satisfactory functional outcomes in 74.5% despite a malunion rate of 30.5%.…”

Section: Complications/outcomesmentioning

confidence: 99%

Fixation of Anterior Pelvic Ring Injuries

Wojahn

Gardner

2019

J Am Acad Orthop Surg

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Treatment of anterior pelvic ring injuries involves both acute stabilization during the initial resuscitation and definitive fixation. Definitive management has evolved substantially over the past 40 years with improved patient mobilization and long-term outcomes. Although its use has recently declined, external fixation remains a favorable option in certain situations. Symphyseal plating is the preferred technique for stabilization of symphyseal diastasis because of superior stability and low morbidity. Ramus screws can be effective for simple ramus fractures but require a careful technique because of the proximity of neurovascular structures. The subcutaneous internal fixator provides a good option for obese patients in whom external fixation would be poorly tolerated. Regardless of fixation strategy, posterior ring reduction and stabilization is crucial.

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“…2023, 10, 656 2 of 16 In human medicine, the acute management of pelvic fractures by external fixation (EF) is commonly performed to avoid displacement of the fracture site, bleeding, neurovascular damage and/or post-traumatic pain [7]. Additionally, EF is a valuable technique for definitive stabilization due to its low rate of complications and ease of application [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Retrospective Assessment of Thirty-Two Cases of Pelvic Fractures Stabilized by External Fixation in Dogs and Classification Proposal

Flores,

Rovesti,

Gimenez-Ortiz

et al. 2023

Veterinary Sciences

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The goals of this study were to evaluate the outcomes of bone healing, patient comfort during the treatment, functional results, and complications in pelvic fractures treated with external fixation, as well as to propose a classification system for the applied external frames. A total of thirty-two canine patients with pelvic fractures of different origins were treated. To provide a better reference for the frames used, an alphanumeric classification system was developed, detailing the frame structure and the number and location of the pins used. In this study, eighty-six fractures were treated in the 32 patients of this work, with an average fixation time of 9.88 ± 4.15 weeks. No major complications were detected in this case cohort, and the outcomes were rated at 9.46 based on a visual assessment scale for the patient’s comfort during treatment. Outcomes graded as excellent and good were 96%. The use of external fixation for stabilization of pelvic fractures should be considered as a technical option, especially for minimally invasive stabilization of complex fractures, either as a primary or secondary stabilization.

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13-Year experience in external fixation of the pelvis: complications, reduction and removal

Cited by 16 publications

References 25 publications

External Fixation for Fracture Stabilization of the Sacrum in 15 Dogs

External Fixation for Fracture Stabilization of the Sacrum in 15 Dogs

Fixation of Anterior Pelvic Ring Injuries

Retrospective Assessment of Thirty-Two Cases of Pelvic Fractures Stabilized by External Fixation in Dogs and Classification Proposal

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