Iliac wing fractures: Utilizing a novel classification system for tailored surgical management in three case studies

Q4 Medicine

Trauma Case Reports Pub Date : 2025-05-26 DOI:10.1016/j.tcr.2025.101188

Edgar Barros Prieto , Eduardo Noboa , Carlos Peñaherrera Carrillo , Francisco Endara , Paul Vaca Perez , Alejandro Barros Castro , Armando Sánchez

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引用次数: 0

Abstract

Iliac wing fractures have long been regarded as relatively benign injuries in the context of pelvic fractures, often not requiring surgical intervention. However, this perception underestimates their complexity and potential complications. In this study, we review the literature and present three clinical cases managed surgically to highlight the challenges and nuances in treating iliac wing fractures. Although these fractures may seem less severe, they can lead to significant functional impairments and long-term complications if not managed appropriately. Through a careful analysis of injury mechanisms, fracture classification, and the use of surgical strategies, this study aims to provide a framework for improved management and outcomes. Clear criteria for surgical intervention, particularly in cases involving displaced fragments, are crucial for reducing pain and restoring function. The application of the latest classification system, based on the concept of the iliac ring, has demonstrated its efficacy in guiding treatment decisions and improving patient quality of life.

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髂翼骨折：在三个病例研究中运用一种新颖的分类系统进行量身定制的手术管理

在骨盆骨折的情况下，髂翼骨折一直被认为是相对良性的损伤，通常不需要手术干预。然而，这种看法低估了它们的复杂性和潜在的复杂性。在本研究中，我们回顾了文献并提出了三个手术治疗的临床病例，以强调治疗髂翼骨折的挑战和细微差别。虽然这些骨折看起来不那么严重，但如果处理不当，它们会导致严重的功能损伤和长期并发症。通过对损伤机制、骨折分类和手术策略的仔细分析，本研究旨在为改善治疗和预后提供一个框架。明确的手术干预标准，特别是涉及移位碎片的病例，对于减轻疼痛和恢复功能至关重要。基于髂环概念的最新分类系统的应用已证明其在指导治疗决策和改善患者生活质量方面的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.