Temporary External Fixation to Table as a Traction Reduction Aide in the Treatment of Unstable Pelvic Ring Injuries: A Technical Note
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Displaced pelvic ring injuries can be challenging to even the experienced orthopedic traumatologist. A temporary external fixation to table construct provides a quick, simple, and accessible means of external skeletal fixation to reliably obtain and maintain stable hemipelvis reduction on the operating room table. The contralateral hemipelvis can be stabilized to the table by use of Steinman pins safely inserted into the subtrochanteric and anterior column regions and later connected to external fixator bars attached to the table. With rigid stabilization, the displaced contralateral pelvic fragment(s) can be reduced in a more vector intentional manner with greater force than the traditional means of pelvic reduction can allow. The skeletal-table fixation technique is presented along with two cases, a combined pelvic-acetabular injury and an isolated pelvic ring injury.
Abstract
Displaced pelvic ring injuries can be challenging to even the experienced orthopedic traumatologist. A temporary external fixation to table construct provides a quick, simple, and accessible means of external skeletal fixation to reliably obtain and maintain stable hemipelvis reduction on the operating room table. The contralateral hemipelvis can be stabilized to the table by use of Steinman pins safely inserted into the subtrochanteric and anterior column regions and later connected to external fixator bars attached to the table. With rigid stabilization, the displaced contralateral pelvic fragment(s) can be reduced in a more vector intentional manner with greater force than the traditional means of pelvic reduction can allow. The skeletal-table fixation technique is presented along with two cases, a combined pelvic-acetabular injury and an isolated pelvic ring injury.
참고문헌 (35)
- Bellabarba C, "Distraction external fixation in lateral compression pelvic fractures", J Orthop Trauma, 20(1 Suppl), pp.S7~14 (2006)
- Tornetta P 3rd, "Expected outcomes after pelvic ring injury", Instr Course Lect, 54, pp.401~407 (2005)
- Routt ML Jr, "Percutaneous fixation of pelvic ring disruptions", Clin Orthop Relat Res, (375), pp.15~29 (2000)
- Lefaivre KA, "Reduction of displaced pelvic ring disruptions using a pelvic reduction frame", J Orthop Trauma, 23, pp.299~308 (2009)
- Matta JM, "Table-skeletal fixation as an adjunct to pelvic ring reduction", J Orthop Trauma, 21, pp.647~656 (2007)
- Rupp RE, "Anatomic and radiographic considerations in the placement of anterior pelvic external fixator pins", Clin Orthop Relat Res, (302), pp.213~218 (1994)
- Gardner MJ, "Stabilization of unstable pelvic fractures with supraacetabular compression external fixation", J Orthop Trauma, 21, pp.269~273 (2007)
- Routt ML Jr, "Operative treatment of complex acetabular fractures. Combined anterior and posterior exposures during the same procedure", J Bone Joint Surg Am, 72, pp.897~904 (1990)
- Harris AM, "Simultaneous anterior and posterior approaches for complex acetabular fractures", J Orthop Trauma, 22, pp.494~497 (2008)
- Matta JM, "Surgical management of acetabular fractures", Instr Course Lect, 35, pp.382~397 (1986)
- Matta JM, "Fractures of the acetabulum : accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury", J Bone Joint Surg Am, 78, pp.1632~1645 (1996)
- Osterhoff G, "Percutaneous iliosacral screw fixation in S1 and S2 for posterior pelvic ring injuries : technique and perioperative complications", Arch Orthop Trauma Surg, 131, pp.809~813 (2011)
- Shuler TE, "Percutaneous iliosacral screw fixation : early treatment for unstable posterior pelvic ring disruptions", J Trauma, 38, pp.453~458 (1995)
- Letournel E, "Pelvic fractures", Injury, 10, pp.145~148 (1978)
- Keating JF, "Early fixation of the vertically unstable pelvis : the role of iliosacral screw fixation of the posterior lesion", J Orthop Trauma, 13, pp.107~113 (1999)
- Cole JD, "Acetabular fracture fixation via a modified Stoppa limited intrapelvic approach. Description of operative technique and preliminary treatment results", Clin Orthop Relat Res, (305), pp.112~123 (1994)
- Braun W, "Reconstruction of complex acetabular fractures using the extensile Kocher-Langenbeck approach (modified Maryland approach)", Oper Orthop Traumatol, 9, pp.83~96 (1997)
- Yoshihara H, "Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009 : trends and in-hospital mortality", J Trauma Acute Care Surg, 76, pp.380~385 (2014)
- Failinger MS, "Unstable fractures of the pelvic ring", J Bone Joint Surg Am, 74, pp.781~791 (1992)
- Templeman DC, "Surgical management of pelvic ring injuries", Instr Course Lect, 54, pp.395~400 (2005)
- Nepola JV, "Vertical shear injuries: is there a relationship between residual displacement and functional outcome?", J Trauma, 46, pp.1024~1029 (1999)
- Matta JM, "Surgical treatment of pelvic nonunions and malunions", Clin Orthop Relat Res, (329), pp.199~206 (1996)
- Goldstein A, "Early open reduction and internal fixation of the disrupted pelvic ring", J Trauma, 26, pp.325~333 (1986)
- Browner BD, "Delayed posterior internal fixation of unstable pelvic fractures", J Trauma, 27, pp.998~1006 (1987)
- Kokubo Y, "Functional outcome of patients with unstable pelvic ring fracture", J Orthop Surg(Hong Kong), 25, pp.2309499016684322~ (2017)
- Sharpe JP, "Impact of early operative pelvic fixation on long-term self-reported outcome following severe pelvic fracture", J Trauma Acute Care Surg, 82, pp.444~450 (2017)
- Dujardin FH, "Long-term functional prognosis of posterior injuries in high-energy pelvic disruption", J Orthop Trauma, 12, pp.145~150 (1998)
- Tile M, "Pelvic fractures : operative versus nonoperative treatment", Orthop Clin North Am, 11, pp.423~464 (1980)
- Routt ML Jr, "Early results of percutaneous iliosacral screws placed with the patient in the supine position", J Orthop Trauma, 9, pp.207~214 (1995)
- Starr AJ, "Preliminary results and complications following limited open reduction and percutaneous screw fixation of displaced fractures of the acetabulum", Injury, 32(Suppl 1), pp.SA45~50 (2001)
- Starr AJ, "Percutaneous fixation of the columns of the acetabulum : a new technique", J Orthop Trauma, 12, pp.51~58 (1998)
- Starr AJ, "Percutaneous screw fixation of fractures of the iliac wing and fracture-dislocations of the sacro-iliac joint (OTA Types 61-B2.2 and 61-B2.3, or Young-Burgess “lateral compression type II” pelvic fractures)", J Orthop Trauma, 16, pp.116~123 (2002)
- Young JW, "Pelvic fractures : value of plain radiography in early assessment and management", Radiology, 160, pp.445~451 (1986)
- Judet R, "Fractures of the acetabulum:classification and surgical approaches for open reduction. Preliminary report", J Bone Joint Surg Am, 46, pp.1615~1646 (1964)
- Letournel E, "Fractures of the acetabulum" (1993), Springer-Verlag