Pelvic Polyfractures in Children

Keshishyan, R. A.; Rozinov, V. M.; Malakhov, O. A.; Kuznetsov, L. E.; Strunin, E G; Chogovadze, G. A.; Tsukanov, Vladimir E.

doi:10.1097/00003086-199511000-00006

Cited by 38 publications

(14 citation statements)

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“…At that point the postoperative removal is evaluated into magnificent, great, poor and reasonable result. Different strategies have been recently depicted in writing including estimation of the channel and outlet proportion as portrayed by Sagi [19], the cross estimation method as portrayed by Keshishyan [20] and the ADM as depicted by Lefaivre [21]. The last has surveyed the between eyewitness dependability of these three strategies and they were found to have helpless unwavering quality [22].…”

Section: Discussionmentioning

confidence: 99%

Using Percutaneous Screw Fixation in sacroiliac Fractures

Khaleel

Ahmed

Al-Traigy

et al. 2021

Benha Journal of Applied Sciences

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Pelvic injury (PT) is perhaps the most intricate wounds in injury mind and happen in 3% of skeletal wounds. The point of this imminent investigation was to highlight utilizing percutaneous iliosacral screw obsession strategy in treatment of sacroiliac breaks or separation with exceptional reference to the actual procedure, its advantages, perils, impediments and difficulties. This is a planned report that will incorporate 20 patients of the two sexual orientations having SIJ disengagement fixed with percutaneous screw with a subsequent time of a half year postoperative. All patients have been evaluated radiologically by Plain radiographs X-beam Antero-back, horizontal, gulf and outlet perspectives on the pelvis. In the activity theater we need (C-arm X-beam unit) for imaging perspectives to keep away from blunders during ISS obsession of the crack. All patients were surveyed by Majeed scoring framework toward the finish of the subsequent period The general outcomes were considered as palatable in 16 (80%) patients; 8 (40%) were superb and 8 (40%) were acceptable and just 4 (20%) patients were unacceptable; 3 (15%) were reasonable and one (5%) was poor. Iliosacral screw obsession is an exquisite choice for balancing out the back sore which is basic wellspring of lingering pain.The component of injury doesn't appear to influence the clinical result of the patients engaged with this examination.

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Section: Discussionmentioning

confidence: 99%

Using Percutaneous Screw Fixation in sacroiliac Fractures

Khaleel

Ahmed

Al-Traigy

et al. 2021

Benha Journal of Applied Sciences

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“…Fracture asymmetry (pelvic deformity index [PDI]) was measured using three‐dimensional (3D) CT, following the cross‐measurement method first described by Keshishyan et al 13 . and later modified by Lefaivre et al 14 .…”

Section: Methodsmentioning

confidence: 99%

“…Fracture asymmetry (pelvic deformity index [PDI]) was measured using three-dimensional (3D) CT, following the crossmeasurement method first described by Keshishyan et al 13 and later modified by Lefaivre et al 14 Furthermore, measurements of VD and pubic symphyseal width (PSW) were also carried out according to Lefaivre et al 14 and Vaidya et al 15 These measurements were performed preoperatively and postoperatively (Figure 1).…”

Section: Radiological Evaluation and Surgical Techniquementioning

confidence: 99%

Minimally Invasive 360° Fusion Using a Combination of INFIX and Minimally Invasive Spinopelvic Fixation by Intraoperative Computed Tomography Navigation for Unstable Pelvic Ring Fracture: A Technical Note

Hiyama

Ukai

Ogasawara

et al. 2023

Orthopaedic Surgery

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Objective Fluoroscopy is often used in the surgery of unstable pelvic ring fractures, and improved safety in implant placement is an issue. An anterior subcutaneous pelvic fixator (INFIX) combined with a percutaneous screw has been reported to be a minimally invasive and effective surgical technique for unstable pelvic ring injuries. However, although percutaneous screw fixation is minimally invasive, its indications for fracture fixation and fractures with large fragment displacements in the vertical plane remain controversial. Therefore, this technical note aims to describe a new technique for unstable pelvic ring fractures. Methods We describe a 360° fusion of the pelvic ring to treat unstable pelvic ring fractures, including vertical shear pelvic ring fractures, using an intraoperative CT navigation system. Seven patients were treated with 360° fusion for type C pelvic ring fractures. In surgery, after reducing the fracture with external fixation, intraoperative CT navigation is used to perform a 360° fusion with INFIX and minimally invasive surgical spinopelvic fixation (MIS‐SPF). We will introduce a typical case and explain the procedure. Results A 360° fixation was performed, and no perioperative complications were noted. The mean blood loss was 253.2 ± 141.0 mL, and the mean operative time was 224.3 ± 67.4 min. In a typical case, bone union was obtained 1 year after surgery, and we removed all implants. Conclusions MIS‐SPF has a strong fixation force and helps reduce fractures' horizontal and vertical planes. In addition, 360° fusion with intraoperative CT navigation may help treat unstable pelvic ring fractures.

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“…1). 25 Initial pelvic displacement was measured on CT scans, which included axial displacement (in millimeters) and rotational displacement (in degrees) 26 (Fig. 2), anterior-posterior displacement on CT inlet (in millimeters) 27 (Fig.…”

Section: Methodsmentioning

confidence: 99%