Advances in Diagnosis and Treatment of Posterior Distal Injury of Pelvic Fracture

TAN Zhen, WANG Guang-lin

Abstract

Pelvic fracture is one of the common diseases of traumatic orthopedics. With the increase of accidents such as traffic accidents, high craters and crush injuries in China, the incidence of pelvic fractures is also increasing year by year. Since pelvic bones and the ligament structure are close to neurovascular, cavity organs and the urogenital structure, early diagnosis and treatment of pelvic fractures is essential for preventing early complications and late sequelae. The treatment of pelvic ring injury has been the focus of pelvic fracture treatment, which determines the outcome of treatment. The application of external fixation and internal fixation to pelvic fracture is still subject to ongoing debate. For unstable pelvic ring injury, emergency external fixation plays a very important role. Pelvic ring injury is often accompanied with nerve injury (lumbosacral plexus injury), which often leads to pain, dysfunction and other complications. Because of its refractory, extensive studies have been undertaken to identify clinical innovations that may be able to repair nerve damage and reduce complications. These research advances can help improve the diagnosis and treatment of pelvic fractures and patient survival and prognosis.

 

Keywords:  Pelvic fracture after ring injuryб Sacroiliac joint dislocationб Sacroiliac screwб Minimally invasiveб Unstable sacral fractureб Peripheral nerve injury 

 

Full Text:

PDF


References


VAN DEN BOSCH EW, VAN DER KLEYN R, HOGERVORST M, et al. Functional outcome of internal fixation for pelvic ring fractures. J Trauma,1999,47(2);365- 71.

XIAO J, ZUO J, WANG Y, et al. Anterior fracture dislocation of the sacroiliac joint: a case report and literature review. Technol Health Care,2017,25(4) ;803-808.

LIU Y, WANG J, ZHANG Y. Occult external iliac vein injury after anterior dislocation of the sacroiliac joint in adult patient. Acta Orthop Traumatol Turc,2017,51(2): 169-171.

ZHANG H, JIN L, LI W,et al. Anterior dislocation of the sacroiliac joint with complex fractures of the pelvis and femur in children;a case report. J Pediatr Orthop B, 2013 , 22 ( 5 ): 424-426.

BOUGUENNEC N, GOUIN F, PIETU G. Isolated anterior unilateral sacroiliac dislocation without pubic arch disjunction. Orthop Traumatol Surg Res, 2012, 98 ( 3 ); 359- 362.

FEINBLATT JS, PHIEFFER LS, LAWYER RB. Anterior sacroiliac dislocation. Orthopedics» 2010,33 ( 12) :920.

LEE DH, JEONG WK. INNA P. et al. Bilateral sacroiliac joint dislocation ( anterior and posterior) with triradiate cartilage injury; a case report. J Orthop Trauma, 2011, 25 (12); El 11-El 14 [2017-01-13]. lutps://doi. org/10. 1097/ ВОТ. 0b013e31821148a8.

BORRELL1 J. KOVAL KJ, HELFET DL. The crescent fracture:a posterior fracture dislocation of the sacroiliac joint. J Orthop Trauma. 1996,10(3); 165-170.

SHAW JC, ROUTT MLC, GARY JL. Intra-operative multi-dimensional fluoroscopy of guidepin placement prior to iliosacral screw fixation for posterior pelvic ring injuries and sacroiliac dislocation: an early case series. Int Orthop, 2017 Mar 29: l-7[2017-04-03_. https://link, springer, com article. 10. 1007% 2Fs00264-017-3447-9. doi; 10. 1007/s00264-017- 3447-9.

SAHINO, DEMIRORS H, AKGUN RC, et al. Internal fixation of bilateral sacroiliac dislocation with transiliac locked plate: a biomechanical study on pelvic models. Acta Orthop Traumatol Turc,2013,47(6):411-416.

SHUI X, YING X, MAO C, et al. Percutaneous screw fixation of crescent fracture-dislocation of the sacroiliac joint. Orthopedics, 2015, 38 ( 11 ); E976-E982 [ 2017-03-28 ]. https;//www. healio. com/orthopedics/journals/ortho/2015- 11-38-1 l/%7Bc8567dbb-5913-4958-b6c9-ed5117a724ae%7D/ percutaneous-screw-fixation-of-crescent-fracture-dislocation- of-the-sacroiliac-joint. doi:10. 3928/01477447-20151020-05.

DAY AC, KINMONT C, BIRCHER МD. et al. Crescent fracture-dislocation of the sacroiliac joint; a functional classification. J Bone Joint Surg Br,2007,89(5):651-658.

SOBHAN MR. ABRISHAM SMJ, VAKILI M, et al. Spinopelvic fixation of sacroiliac joint fractures and fracture- dislocations;a clinical 8 years follow-up study. Arch Bone Jt Surg,2016,4(4);381-386.

FISCHER S, VOGL TJ, MARZI I, et al. Percutaneous cannulated screw fixation of sacral fractures and sacroiliac joint disruptions with CT-controlled guidewires performed by interventionalists; single center experience in treating posterior pelvic instability. Eur J Radiol, 2015, 84 (2) ; 290- 294.

YANOS, AOKI Y, WATANABE A, et al. Less invasive lumbopelvic fixation technique using a percutaneous pedicle screw system for unstable pelvic ring fracture in a patient with severe multiple traumas. J Neurosurg Spine, 2017, 26 (2):203-207.

THAKKAR SC, THAKKAR RS, SIRISREETREERUX N, et al. 2D versus ЗD fluoroscopy-based navigation in posterior pelvic fixation: review of the literature on current technology. Int J Comput Assist Radiol Surg,2017,12( 1) :69-76.


Refbacks

  • There are currently no refbacks.