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)

2002 ◽  
Vol 16 (2) ◽  
pp. 116-123 ◽  
Author(s):  
Adam J. Starr ◽  
James C. Walter ◽  
Robert W. Harris ◽  
Charles M. Reinert ◽  
Alan L. Jones
Keyword(s):  
Screw Fixation ◽  
Pelvic Fractures ◽  
Type Ii ◽  
Lateral Compression ◽  
Percutaneous Screw Fixation ◽  
Iliac Wing ◽  
Fracture Dislocations ◽  
Compression Type

scholarly journals The traditional experience strategy (TES) and combined ultrasonography examination (CUE) for the treatment of lateral compression type 1 pelvic fractures: a historical control study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Hai Huang ◽  
Bin-Fei Zhang ◽  
Ping Liu ◽  
Hong-Li Deng ◽  
Peng-Fei Wang ◽  
...  
Keyword(s):  
Pelvic Fractures ◽  
Definitive Treatment ◽  
Lateral Compression ◽  
Level Of Evidence ◽  
Conservative Group ◽  
Medical Records System ◽  
The Stability ◽  
And Function ◽  
Compression Type

Abstract Background It is difficult to judge the stability of lateral compression type-1 (LC-1) pelvic fracture, as it is often based on static images of the pelvis. Compared with the traditional experience strategy, ultrasonography examination may be able to distinguish operative and conservative patients before definitive treatment. However, in previous studies, we have not compared the outcomes between traditional experience strategy (TES group) and combined ultrasonography examination (CUE group). Thus, the aim of the study is comparing the differences between TES and CUE strategy, to identify the value of ultrasonography examination. Methods Medical records system for patients with LC-1 pelvic fractures who were treated with TES and CUE strategy were included. Patients’ baseline characteristics, treatment strategy, and function were recorded at follow-up. Functional outcomes were evaluated using the Majeed grading system. Results In total, 77 patients with LC-1 pelvic fractures were included in the study. There were 42 and 35 patients in TES and CUE group, respectively. Compared to TES group (69 %), there were less proportion patients chosen the operative treatment in CUE group (43 %, P = 0.021). The volume of intraoperative blood loss in CUE operative group was more than TES operative group (P = 0.037). There were more patients with complete sacral fracture in CUE operative group than TES operative group (P = 0.002). The Majeed scores in CUE conservative group was higher than TES conservative group (P = 0.008). The overall Majeed scores in CUE group was higher than that in TES group (P = 0.039). Conclusions The ultrasonography examination could relatively accurately identify the unstable LC-1 pelvis than the traditional experience strategy, the operative rate could be reduced and the overall function of LC-1 patients could be improved under the ultrasonography examination. Level of evidence Level III.

Comparison of posterior ring fixation with combined anterior and posterior ring fixation for the treatment of lateral compression type 2 pelvic fractures

2020 ◽  
Vol 44 (6) ◽  
pp. 1187-1193 ◽  
Author(s):  
Bin-Fei Zhang ◽  
Kun Shang ◽  
Peng-Fei Wang ◽  
Chao Ke ◽  
Shuang Han ◽  
...  
Keyword(s):  
Pelvic Fractures ◽  
Lateral Compression ◽  
Posterior Ring ◽  
Compression Type

scholarly journals Cannulated iliac screw fixation combined with reconstruction plate fixation for Day type II crescent pelvic fractures

2020 ◽  
Vol 48 (1) ◽  
pp. 030006051989612 ◽  
Author(s):  
Ming Li ◽  
Dichao Huang ◽  
Hailin Yan ◽  
Haiyang Li ◽  
Liping Wang ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Plate Fixation ◽  
Pelvic Fractures ◽  
Type Ii ◽  
Reconstruction Plate ◽  
Iliac Screw

Does Fracture Pattern Predict Death With Lateral Compression Type 1 Pelvic Fractures?

2010 ◽  
Vol 69 (4) ◽  
pp. 876-879 ◽  
Author(s):  
Theodore T. Manson ◽  
Jason W. Nascone ◽  
Marcus F. Sciadini ◽  
Robert V. OʼToole
Keyword(s):  
Fracture Pattern ◽  
Pelvic Fractures ◽  
Lateral Compression ◽  
Compression Type

Arthroscopically assisted fixation of Hawkins type II talar neck fractures

2018 ◽  
Vol 100-B (4) ◽  
pp. 461-467 ◽  
Author(s):  
J. Wagener ◽  
C. Schweizer ◽  
L. Zwicky ◽  
T. Horn Lang ◽  
B. Hintermann
Keyword(s):  
Screw Fixation ◽  
Weight Bearing ◽  
Type Ii ◽  
Percutaneous Screw Fixation ◽  
Functional Rehabilitation ◽  
Fracture Fragment ◽  
Neck Fracture ◽  
Arthroscopically Assisted ◽  
Arthroscopically Assisted Reduction ◽  
Talar Neck Fractures

Aims Arthroscopically controlled fracture reduction in combination with percutaneous screw fixation may be an alternative approach to open surgery to treat talar neck fractures. The purpose of this study was thus to present preliminary results on arthroscopically reduced talar neck fractures. Patients and Methods A total of seven consecutive patients (four women and three men, mean age 39 years (19 to 61)) underwent attempted surgical treatment of a closed Hawkins type II talar neck fracture using arthroscopically assisted reduction and percutaneous screw fixation. Functional and radiological outcome were assessed using plain radiographs, as well as weight-bearing and non-weight-bearing CT scans as tolerated. Patient satisfaction and pain sensation were also recorded. Results Primary reduction was obtained arthroscopically in all but one patient, for whom an interposed fracture fragment had to be removed through a small arthrotomy to permit anatomical reduction. The quality of arthroscopic reduction and restoration of the talar geometry was excellent in the remaining six patients. There were no signs of talar avascular necrosis or subtalar degeneration in any of the patients. In the whole series, the functional outcome was excellent in five patients but restricted ankle movement was observed in two patients. All patients had a reduction in subtalar movement. At final follow-up, all patients were satisfied and all but one patient were pain free. Conclusion Arthroscopically assisted reduction and fixation of talar neck fractures was found to be a feasible treatment option and allowed early functional rehabilitation. Cite this article: Bone Joint J 2018;100-B:461–7.

scholarly journals Feasibility of anterior pelvic ring fixation alone for treating lateral compression type 1 pelvic fractures with nondisplaced complete sacral fractures: a retrospective study

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8743
Author(s):  
Kun Shang ◽  
Chao Ke ◽  
Ya-Hui Fu ◽  
Shuang Han ◽  
Peng-Fei Wang ◽  
...  
Keyword(s):  
Lower Limb ◽  
Pelvic Ring ◽  
Pelvic Fractures ◽  
Lateral Compression ◽  
Lower Limb Injury ◽  
Sacral Fractures ◽  
Limb Injury ◽  
The Mean ◽  
Compression Type

Purpose The aim of this study was to evaluate the feasibility of anterior pelvic ring fixation alone for treating lateral compression type 1 (LC-1) fractures with nondisplaced complete sacral fractures. Methods Patients with LC-1 type pelvic fractures with nondisplaced complete sacral fractures in the Xi’an Honghui Hospital were screened. Those who underwent surgical treatment for the anterior pelvic ring fractures and conservative treatment for the sacral factures were included in the analysis. The Majeed and Short Form-12 (SF-12) functional scores were used to evaluate these patients. Results Of the 123 patients enrolled, 108 (88%) responded to our enquiries regarding the outcome. The mean follow-up period was 18.37 months for the 108 patients who responded. The mean SF-12 functional score was 48.22 ± 9.68. The mean Majeed score was 83.47 ± 9.23, including 52 with excellent, 47 with good, seven with fair, two with poor outcomes. The SF-12 functional and Majeed scores were significantly higher in those aged <45 years or without lower limb injury than in those aged ≥45 years or with lower limb injury (P < 0.05). Conclusion Acceptable functional outcomes can be obtained for LC-1 pelvic fractures with nondisplaced complete sacral fractures by using anterior pelvic ring fixation alone.

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