Fragility fractures of the pelvic ring

Yaish, F.; Elnahal, Walid A.; Acharya, Mez; Ward, Anthony J. I.; Chesser, T.J.S.

doi:10.1016/j.mporth.2018.01.007

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Up to 60% of dorsal hemipelvis structures such as the sacrum, sacroiliac joints, and spinopelvic junction, may be missed. 8,11 They are poorly visualized due to overlapping bowel gas shadows. CT scans or radionuclide bone scans diagnosed 94% of sacral fractures missed on plain radiographs.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7] Fundamentally different from high-energy pelvic fractures in younger adults, the low energy of injuries that cause FFP rarely result in major soft tissue disruption and fracture displacement is minimal due to stabilization by intact ligamentous constraints. 8,9 Similarly, haemodynamic instability is uncommon. 9 Therefore, the primary aims in managing patients with FFP are to achieve adequate pain relief and early mobilization.…”

Section: Introductionmentioning

confidence: 99%

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Three-dimensional-guided navigation percutaneous screw fixation of fragility fractures of the pelvis

Wong

Lau

Chui

et al. 2019

J Orthop Surg (Hong Kong)

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Background: Three-dimensional (3D)-guided navigation percutaneous screw fixation of pelvi-acetabular fractures has been reported in patients with high-energy trauma. Its use in fragility fractures of the pelvis is expanding and its results are promising. Methods: We report a series of 17 consecutive patients with fragility fractures of the pelvis treated with 3D-guided navigation percutaneous screw fixation from 2016 to 2017. Percutaneous screw trajectories were planned preoperatively for the majority of patients. Closed reduction was performed prior to fixation in grossly displaced fractures. Results: The mean time to surgery was 8.6 + 2.4 days, and the mean intraoperative blood loss was 94.1 + 26.6 mL. One early surgical complication occurred involving an infected pelvic external fixator iliac pin track site, and there were no cases of neurological deficits after fixation. In total, 7 of the 14 patients had screw backout, and the mean backout distance was 8.3 + 4.4 mm. Cortical perforation was seen in one patient involving an anterior column screw by 5.7 mm; 14 patients were followed up for a mean of 18.7 + 2.8 months; 13 patients achieved complete fracture union, and 1 patient had a fracture non-union. Premorbid ambulatory function was restored in 8 of the 14 patients. The mean visual analogue scale for pain severity at follow-up was 0.36 + 0.50. There were no cases of 30-day and 1-year mortality. Conclusion: 3D-guided navigation percutaneous screw fixation is a safe, precise, and effective surgical technique for managing fragility fractures of the pelvis.

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Section: Discussionmentioning

confidence: 99%