Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Minimally Invasive Stabilization with Percutaneous Screws Fixation of APC-3 Pelvic Ring Injury

  • Kim, Beom-Soo (Department of Orthopedic Surgery, Korea University Guro Hospital) ;
  • Oh, Jong-Keon (Department of Orthopedic Surgery, Korea University Guro Hospital) ;
  • Cho, Jae-Woo (Department of Orthopedic Surgery, Korea University Guro Hospital) ;
  • Yeo, Do-Hyun (Department of Orthopedic Surgery, Korea University Guro Hospital) ;
  • Cho, Jun-Min (Department of General Surgery, Korea University Guro Hospital)
  • Received : 2018.05.31
  • Accepted : 2018.09.03
  • Published : 2019.03.31
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Abstract

Pelvic fractures are associated with life-threatening injuries and high rates of morbidity and mortality. Management of internal blood loss associated with unstable pelvic ring injuries is paramount during the initial period. The reconstruction of the pelvic ring is of importance because it is a major contributor to the stability of the pelvic ring. We report the case of a 25-year-old man who had an unstable pelvic ring fracture combined with rupture of an obturator artery and had a successful and satisfactory treatment using minimally invasive surgery with percutaneous antegrade screw fixation.

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References

  1. Tonetti J. Management of recent unstable fractures of the pelvic ring. An update conference supported by the Club Bassin Cotyle. (Pelvis-Acetabulum Club). Orthop Traumatol Surg Res 2013;99(1 Suppl):S77-86. https://doi.org/10.1016/j.otsr.2012.11.013
  2. Matta JM, Tornetta P 3rd. Internal fixation of unstable pelvic ring injuries. Clin Orthop Relat Res 1996;(329):129-40.
  3. Lindahl J, Hirvensalo E. Outcome of operatively treated type-C injuries of the pelvic ring. Acta Orthop 2005;765:667-78. https://doi.org/10.1080/17453670510041754
  4. Gruen GS, Leit ME, Gruen RJ, Peitzman AB. The acute management of hemodynamically unstable multiple trauma patients with pelvic ring fractures. J Trauma 1994;36:706-11; discussion 711-3. https://doi.org/10.1097/00005373-199405000-00019
  5. Routt MC Jr, Nork SE, Mills WJ. Percutaneous fixation of pelvic ring disruptions. Clin Orthop Relat Res 2000;375:15-29. https://doi.org/10.1097/00003086-200006000-00004
  6. Richard MJ, Tornetta P 3rd. Emergent management of APC-2 pelvic ring injuries with an anteriorly placed C-clamp. J Orthop Trauma 2009;23:322-6. https://doi.org/10.1097/BOT.0b013e3181a196d5
  7. Pohlemann T, Gansslen A, Schellwald O, Culemann U, Tscherne H. Outcome after pelvic ring injuries. Injury 1996;27 Suppl 2:B31-8.
  8. Gu R, Huang W, Yang L, Liu H, Xie K, Huang Z. Comparisons of front plate, percutaneous sacroiliac screws, and sacroiliac anterior papilionaceous plate in fixation of unstable pelvic fractures. Medicine (Baltimore) 2017;96:e7775. https://doi.org/10.1097/MD.0000000000007775
  9. Karadimas EJ, Nicolson T, Kakagia DD, Matthews SJ, Richards PJ, Giannoudis PV. Angiographic embolisation of pelvic ring injuries. Treatment algorithm and review of the literature. Int Orthop 2011;35:1381-90. https://doi.org/10.1007/s00264-011-1271-1
  10. Totterman A, Dormagen JB, Madsen JE, Klow NE, Skaga NO, Roise O. A protocol for angiographic embolization in exsanguinating pelvic trauma: a report on 31 patients. Acta Orthop 2006;77:462-8. https://doi.org/10.1080/17453670610046406
  11. Giannoudis PV, Tzioupis CC, Pape HC, Roberts CS. Percutaneous fixation of the pelvic ring: an update. J Bone Joint Surg Br 2007;89:145-54.
  12. Dahill M, McArthur J, Roberts GL, Acharya MR, Ward AJ, Chesser TJS. The use of an anterior pelvic internal fixator to treat disruptions of the anterior pelvic ring: a report of technique, indications and complications. Bone Joint J 2017;99-B:1232-6. https://doi.org/10.1302/0301-620X.99B9.BJJ-2016-1025.R2
  13. Choy WS, Kim KJ, Lee SK, Park HJ. Anterior pelvic plating and sacroiliac joint fixation in unstable pelvic ring injuries. Yonsei Med J 2012;53:422-6. https://doi.org/10.3349/ymj.2012.53.2.422
  14. Guthrie HC, Owens RW, Bircher MD. Fractures of the pelvis. J Bone Joint Surg Br 2010;92:1481-8. https://doi.org/10.1302/0301-620X.92B11.25911
  15. Ceylan H, Selek O, Sarlak AY. Percutaneous fixation of anterior column acetabular fracture in a renal transplant recipient. Case Rep Orthop 2013;2013:842390. https://doi.org/10.1155/2013/842390
  16. Tempelaere C, Vincent C, Court C. Percutaneous posterior fixation for unstable pelvic ring fractures. Orthop Traumatol Surg Res 2017;103:1169-71. https://doi.org/10.1016/j.otsr.2017.07.024
  17. Miller AN, Routt ML Jr. Variations in sacral morphology and implications for iliosacral screw fixation. J Am Acad Orthop Surg 2012;20:8-16. https://doi.org/10.5435/00124635-201201000-00002