medigraphic.com
SPANISH

Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2005, Number 5

<< Back Next >>

Acta Ortop Mex 2005; 19 (5)

Anterior approach for surgical treatment of rotational pelvic instability

Medina CA, Reséndiz A, Pozos E, Gómez T, Guerrero N, Nieto L, Castillo E, Almanza A
Full text How to cite this article

Language: Spanish
References: 17
Page: 225-230
PDF size: 139.55 Kb.


Key words:

pelvis, surgical procedures, operative, fracture.

ABSTRACT

An instable pelvic ring fracture represents a severe injury and is it’s associated with high morbidity and mortality. Data available is assessing the long-term functional limitations. Material and methods. Prospective, transversal, observational and descriptive study of 35 patients, consecutive patients with a type B fracture of pelvic ring, 35 were treated by open reduction and internal fixation, during 24 weeks follow-up. Results. Twenty eight male (80%), 7 female (20%), the age average 32 years old. Was predominant the high energy trauma, there was rotational instability 26 of whom had type B1, 4 had type B2, and 5 had type B3, produced by high energy trauma. The pain, ambulation and muscular force acceptable outcomes. Postoperative complications were infections in 4 patients, clinical injury of L5 in 8 patients who had a completely recuperation at 24 weeks after surgery. Discussion. Interdisciplinary team is important in the management of the pelvic trauma for reducing the mortality and morbidity. We suggest prior intervention and the rehabilitation as definitive treatment of unstable pelvic ring fractures.


REFERENCES

  1. Campbell’s operative Orthopaedics. 10 edit.: S. Terry Canale; Mosby Year Book, INC. 2003.

  2. Daniel’s SL: Pruebas funcionales. Técnicas manuales de exploración. Edit. Interamericana, tercera edición, México, 1973.

  3. Letournel E: Pelvic Fractures. Injury 1978; 10(2): 145-148.

  4. Matta JM, Saucedo T: Internal fixation of pelvic ring fractures. Clin Orthop 1989; 242: 83.

  5. Simpson LA, et al: Anterior approach and stabilization of the disrupted sacroiliac joint. J Trauma 1987; 27(12): 1332-9.

  6. Symposiums. Internal Fixation of Unstable Pelvic Ring Fractures. J Bone Joint Surg British 1997; 79-B(25) Supplement: 224.

  7. Dickinson D, Lifeso R, McBroom R, Tile M: Disruptions of the pelvic ring. J Bone Joint Surg 1982; 64B(5): 635.

  8. Holdsworth FW: Dislocation and fracture dislocation of the pelvis. J Bone Joint Surg 1948; 30B: 461.

  9. Skeletal Trauma. Fractures Dislocations and Ligamentous Injuries; Browner, Jupiter, Levine, Trafton: W.B. Saunders Company. 1998.

  10. Tile M: Pelvic ring fractures: should they be fixed? J Bone Joint Surg 1988; 70(1): 1-12.

  11. Van der Bosch EW, Van der Kleyn, Hogervorst M, Van Vugt AB: Functional outcome of internal fixation for pelvic ring fractures. J Trauma 1999; 47(2): 365-371.

  12. Hoppenfeld S, de Boer P: Surgical Exposures in Orthopaedics.

  13. Thorensen BO, Atho A, Ekeland A, et al: Interlocking intramedullary nailing in femoral shaft fractures. J Bone Joint Surg 1985; 67(9) 1313-20.

  14. Colchero RF, Olvera BJ: La consolidación de las fracturas. Su fisiología y otros datos de importancia. Rev Med IMSS 1983; 21: 374.

  15. Letournel E: Fractures of the cotyloid cavite, study of a series of 75 cases. J Chronic Dis 1961; 82: 47-87.

  16. Letournel E: The treatment of acetabular fractures through the ilioinguinal approach. Clin Orthop Relat Res 1993; (292): 62-76.

  17. Leighton RK, Wadell JP: Techniques for reduction and posterior fixation through the anterior approach. Clin Orthop Relat Res 1996; (329): 115-120.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Ortop Mex. 2005 Sep-Oct;19