Percutaneous pelvic ring fracture reduction using an external fixator: a technical trick and case series.

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2025-04-02 DOI:10.1007/s00264-025-06509-0

Guillaume David, Nicholas J Tucker, Clement Marc, Vincent Steiger, Louis Rony, Cyril Mauffrey

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引用次数: 0

Abstract

Purpose: Pelvic ring and acetabular fractures pose significant morbidity and mortality risks due to substantial haemorrhage and internal organ injury. Many percutaneous reduction techniques involve manipulating the injured side while stabilizing the uninjured side, often requiring specific or costly equipment. This article presents a technique for creating a pelvic reduction frame using a standard external fixator.

Method: We included surgical pelvic ring fractures between 2018 and 2022. Pelvic reduction was achieved using an external fixator (Hoffmann III, Stryker Corporation, Kalamazoo, Michigan, USA). Reduction quality was assessed according to the technique described by Lefaivre et al., based on the following criteria: mean asymmetry (mm), mean deformity index (mm), and mean maximum horizontal or vertical displacement (mm).

Results: 15 patients (10 men, 5 women, mean age 35 years) underwent surgical treatment for pelvic fractures using an external fixator and percutaneous fixation. Mean operative time was 130 min (range, 80-276). Postoperative imaging showed a mean maximum displacement of 5.4 mm and a mean asymmetry of 3.7 mm, with excellent or good reductions in 11 cases.

Conclusion: This system uses widely available equipment and enables the benefits of percutaneous techniques, but surgical expertise remains the key to success.

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.