Radiological analysis, operative management and functional outcome of open book pelvic lesions: A 13-year cohort study

Loon, Pieter Van; Kühn, Sebastian; Hofmann, Alexander; Hessmann, M.; Rommens, Pol Maria

doi:10.1016/j.injury.2010.11.057

Cited by 48 publications

(40 citation statements)

References 23 publications

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“…Krappinger et al 4 examined cases of pelvic ring fractures in osteoporotic bones and reported that the typical fractures of this segment are stable and that the mechanism of injury is trivial trauma, such as fall from own height. Loon et al, 23 in a study on the treatment of type B pelvic ring injuries, observed that the most common mechanism in this type of injury was falling from a height greater than ordinary, as well as traffic accidents; Jezek and Dzupa, 15 in a study on the mechanism of ring fracture/injury and the age of patients, reported that simple fractures (AO type A) are common in elderly individuals and those considered more severe (type C) are predominant in young males. The authors also point out that the most serious fractures are related to high-energy traumas, with significant involvement of motorcycle accidents and falls from great heights.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of pelvic ring fractures and injuries

Pereira

Damasceno

Dinhane

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveThis study evaluated the pelvic ring fractures and injuries in patients admitted to and treated at this ward between August, 2012 and January, 2014.Methods66 patients were submitted to treatment protocols according to their age, gender, skin color, injury mechanism, location of the trauma, classification of their injuries, emergency intervention, associated injuries, injured side of the body, treatment, and mortality. The most relevant data were classified according to statistic procedures, such as Goodman's association test. Measures were compared with Student's t-test and analysis of variance associated with Tukey's multiple comparison test.ResultsThe mean age was 47 years; white race and male gender were most common. Car or truck accident was the most common cause of injuries, which occurred mainly in urban sites. Type A injuries were the most frequent. 16.6% of the cases were submitted to emergency surgery. 42.4% displayed associated injuries. The right side of the body was the most commonly affected side. Non-invasive treatment was most commonly used. Death was the outcome in 3% of the cases, associated to high-energy trauma.ConclusionsPelvic ring fractures and injuries are more often verified among males. In general and among younger individuals, traffic accidents are the most common cause of the injury, while among the elderly, ordinary falls are the most commonly verified cause. The majority of those injuries are suffered in urban areas. Type A fractures are more frequent. The majority of cases do not require emergency intervention nor do they feature associated injuries. Non-invasive treatment is most common and death outcomes are associated to high-energy traumas with severe injuries.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of pelvic ring fractures and injuries

Pereira

Damasceno

Dinhane

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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“…The authors have also observed that this described technique is an essential part of medical education dealing with pelvic injury and symphyseal repair. We reviewed numerous textbooks 16,17,[19][20][21][22][23][24]28 and scientific articles, both classic and current, dedicated to pelvic trauma, 7,[13][14][15]18,24,25,27 which described this reduction technique using pointed forceps on the pubic tubercles or anterior pelvic body. None described it as an open clamp application or elevation of the rectus and other soft tissue insertions on the anterior pubis.…”

Section: Discussionmentioning

confidence: 99%

“…The most popular clamp technique continues to be the use of a pointed tenaculum clamp (ie, Weber clamp) applied at or near the pubic tubercles. 7,[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] This technique is presented in virtually every textbook on the subject and is taught widely at medical education courses dedicated to the surgical treatment of pelvic fractures. The tubercles extend anteriorly from the pubic bodies and are covered with thick fibrous attachments for the insertion of abdominal musculature, and the inguinal ligament.…”

Section: Introductionmentioning

confidence: 99%

Anatomic Relationship Between the Spermatic Cord and the Pubic Tubercle

Collinge

Beltran

2015

Journal of Orthopaedic Trauma

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“…Instabilities of the symphysis pubis are fixed with a bridging plate osteosynthesis [40]. In this osteoporotic bone, a six-hole angle-stable plate is recommended.…”

Section: Treatment Strategiesmentioning

confidence: 99%

Surgical management of osteoporotic pelvic fractures: a new challenge

Rommens

Wagner

Hofmann

2012

Eur J Trauma Emerg Surg

101

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The number and variety of osteoporotic fractures of the pelvis are rapidly growing around the world. Such fractures are the result of low-impact trauma. The patients have no signs of hemodynamic instability and do not require urgent stabilization. The clinical picture is dominated by immobilizing pain in the pelvic region. Fractures may be located in both the ventral and the dorsal pelvic ring. The current well-established classification of pelvic ring lesions in younger adults does not fully reflect the criteria for osteoporotic and insufficiency fractures of the pelvic ring. Most osteoporotic fractures are minimally displaced and do not require surgical therapy. However, in some patients, an insidious progress of bone damage leads to complex displacement and instability. Therefore, vertical sacral ala fractures, fracture dislocations of the sacroiliac joint, and spinopelvic dissociations are best treated with operative stabilization. Angular stable bridge plating, the insertion of a transsacral positioning bar, and iliolumbar fixation are operative techniques that have been adapted to the low bone mineral density of the pelvic ring and the high forces acting on it.

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Radiological analysis, operative management and functional outcome of open book pelvic lesions: A 13-year cohort study

Cited by 48 publications

References 23 publications

Epidemiology of pelvic ring fractures and injuries

Epidemiology of pelvic ring fractures and injuries

Anatomic Relationship Between the Spermatic Cord and the Pubic Tubercle

Surgical management of osteoporotic pelvic fractures: a new challenge

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