Ct-Guided Percutaneous Fixation of Pelvic Fractures. Case Reports

Chmelová, Jana; Šír, Milan; Ječmínek, Vladimír

doi:10.5507/bp.2005.024

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…The type C fractures of the pelvis with fracture in the socket portion of the “ball-and-socket” hip joint that is fixed via external fixation on acetabulum and pelvis with fixation of posterior acetabular rim using the screw which are conducted through the skin. Derived in accordance with[50]…”

Section: Methodsmentioning

confidence: 99%

Management of multiple traumas in emergency medicine department: A review

Kashani

Saberinia

2019

J Family Med Prim Care

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One of the main causes of adults' disability during their working age is multiple trauma. The process of medical care of patients who are injured seriously is still a challenging job. The primary treatment of these patients in the emergency medicine departments is the most required choice after the wilderness first aid and also would be very required before definitive care in the hospital. The main aim of emergency medicine departments is quick recognition and treatment of injuries which pose severe threat to patients' life in appropriate order of priority. The procedure of primary evaluation in emergency medicine department with the help of medical routine examination and ultrasonography is based on the concept of focused assessment with sonography in trauma (FAST) for identifying spontaneous intraperitoneal hemorrhage. Emergency patients who suffer from massive hematothorax, serious lung and heart traumas, and penetrating traumas to the chest would undergo thoracotomy and patients who have few symptoms of perforated hollow viscous will undergo emergency laparotomy. Based on the trauma severity, emergency treatment could be the way to fast recovery of the structure of injured organ and its function. The subsequent goal, in the acute phase, will concentrate on preventing and stopping bleeding and secondary injuries like painful compartment syndrome or intra-abdominal infections (IAIs). However, the main aim of emergency medicine department in taking care of severely injured patients is the management of airway, protecting circulation and breathing, identification of neurologic problems, and whole body clinical examination with the help of healthcare providers.

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Section: Methodsmentioning

confidence: 99%

Management of multiple traumas in emergency medicine department: A review

Kashani

Saberinia

2019

J Family Med Prim Care

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“…This procedure requires an experienced surgeon and well-coordinated team. 5 , 6 The purpose of this article is step by step demonstration of operative technique for CT-guided Sacroiliac fixation to improve the accuracy of screw placement and reduce complication rate.…”

Section: Introductionmentioning

confidence: 99%

CT-guided percutaneous sacroiliac stabilization in unstable pelvic fractures: a safe and accurate technique

Gandhi

Vijayvargiya

Shetty

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveThe use of open reduction and internal fixation (ORIF) for unstable pelvic injuries is associated with extensive blood loss, iatrogenic neurovascular injury, and infection. Moreover, the placement of sacroiliac (SI) screws is a blinded procedure, guided primarily by palpation and two-dimensional radiological screening, which demands expertise. The complex three-dimensional anatomy of SI joint and its proximity to neurovascular structure require a safe and precise technique. Computed tomography (CT)-guided SI joint stabilization allows an accurate intra-operative assessment of screw placement. This study demonstrated a technique of CT-guided closed reduction and screw fixation of the SI joint in unstable pelvic fractures.MethodsThis was a retrospective non-randomized cohort study conducted at a tertiary care hospital. Six patients with unstable pelvic fractures were operated; the anterior rim was stabilized first by ORIF with plate on the superior and anterior aspects of the pubic symphysis. Subsequently, the posterior stabilization was made percutaneously under CT guidance with a 7-mm cannulated cancellous screw.ResultsThe mean operative time was 48 min (35–90 min), the mean effective radiation dose was 9.32 (4.97–13.27), and the mean follow-up was 26 months (6–72 months). All patients had satisfactory healing, with near-anatomic reduction and no complications, except in one case where the plate broke at 61 months post surgery, but no intervention was required. The mean VAS score at the final follow-up was 1.8, and all patients returned to their original occupation without any limitations.ConclusionCT-guided SI joint stabilization offers many advantages, including safe and accurate screw placement, reduced operating time, decreased blood loss, early definitive fixation, immediate mobilization, and fewer infections and wound complications.

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“…Diagnostic methods, apart from RTG pelvic, are ultrasonography, computed tomography and computed angiotomography, see [1].…”

Section: Introductionmentioning

confidence: 99%

“…The basis for the treatment of instable pelvic fractures consists of pelvic skeleton stabilization, which in the urgent stage is ensured by application of a pelvic clamp with subsequent application of external fixator, see [1] to [4], [7] to [12] and Fig. 1.…”

Section: Introductionmentioning

confidence: 99%

About the Development of External Fixators Applied In Emergency Surgery

Pleva¹,

Ječmínek²,

Kubín³

et al. 2013

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At first, the doctors mentioned their own medical experience with treatment of complex pelvic injury in patients with polytrauma and give reasons for necessity of early stabilization of pelvic fractures by means of external fixation, especially with continuous hemorrhage into lesser pelvis region and the retroperitoneum. Afterwards, they used damage control surgery methods including selective embolization. However, this article is focused also on the design of external fixators applied in traumatology and orthopaedics (i.e. skills of engineers). These fixators can be used in the treatment of open and unstable (i.e. complicated) fractures of pelvis and its acetabulum. Two versions (i.e. old and new) are compared. Numerical modelling (i.e. Finite Element Method), together with CAD modelling, experiments, material engineering, and nanotechnology are presented as a support for developing of a new design of external fixators. Abstrakt Nejprve, lékaři zmiňují své vlastní lékařské zkušenosti s léčbou komplexního poranění pánve u pacientů s polytraumaty a udávají důvody pro neodkladnou včasnou stabilizaci pánevních zlomenin pomocí zevních fixátorů, obzvláště u plynulého krvácení do nižších oblastí pánve a retroperitonea. Potom využívají metod "damage control surgery" včetně selektivní embolizace. Nicméně, tento článek je také zaměřen na design nových externích fixátorů aplikovaných v traumatologii a ortopedii (tj. zkušenosti inženýrů). Tyto fixátory mohou být využívány v léčbě otevřených a nestabilních (tj. komplikovaných) zlomenin pánve a acetabula. Dvě verze fixátorů (tj. stará a nová) jsou porovnány. Počítačové modelování (tj. metoda konečných prvků), společně CAD sw, experimenty, materiálovým inženýrstvím a nanotechnologií jsou prezentovány jako podpora vývoje nových konstrukcí zevních fixátorů.

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Ct-Guided Percutaneous Fixation of Pelvic Fractures. Case Reports

Cited by 8 publications

References 9 publications

Management of multiple traumas in emergency medicine department: A review

Management of multiple traumas in emergency medicine department: A review

CT-guided percutaneous sacroiliac stabilization in unstable pelvic fractures: a safe and accurate technique

About the Development of External Fixators Applied In Emergency Surgery

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