RT Journal Article
T1 Anterior pre-tensioned external fixator for pelvic fractures and dislocations. Initial clinical series
A1 Queipo-de-Llano, A.
A1 Lombardo-Torre, M.
A1 Leiva-Gea, A.
A1 Delgado-Rufino, F. B.
A1 Luna-Gonzalez, F.
K1 Pelvis fracture
K1 Urgent stabilization
K1 Pelvic compression
K1 External fixation
K1 Pre -tensed bar
K1 Ring injuries
K1 Compression
K1 Stabilization
K1 Girdle
AB In the treatment of unstable pelvic ring fractures, external fixators have the limitation of not adequately stabilizing the injured posterior elements. This article presents a novel and simple technique of temporary external fixation of the pelvic ring, able to produce compression of both the anterior and posterior pelvic elements. A curved flexible carbon-fiber rod is used, pre-tensioned before attachment to supra-acetabular Schanz screws. Although more extensive clinical experience is required, favorable preliminary results in a series of 13 patients with unstable pelvic fracture were encouraging: the aim of closing the posterior and anterior elements of the pelvic ring was achieved in all cases treated with this technique, and 12 patients survived. Radiological results were excellent in 3 cases and good in 9 cases. No major complications, such as secondary displacement, vertical re-displacement or deep infection, were observed. Mean operative time was 25 min, compatible with emergency management. (C) 2016 Elsevier Masson SAS. All rights reserved.
PB Elsevier masson
SN 1877-0568
YR 2016
FD 2016-12-01
LK http://hdl.handle.net/10668/18862
UL http://hdl.handle.net/10668/18862
LA en
DS RISalud
RD Apr 17, 2025