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Fixateur externe antérieur avec préhension dans les fractures et luxations du bassin
Revue de chirurgie orthopédique et traumatologique 102 (2016) 784
Disponible en ligne sur
ScienceDirect www.sciencedirect.com
Note de technique
Fixateur externe antérieur avec préhension dans les fractures et luxations du bassin夽 Anterior pre-tensioned external fixator for pelvic fractures and dislocations. Initial clinical series A. Queipo-de-Llano , M. Lombardo-Torre ∗ , A. Leiva-Gea , F.B. Delgado-Rufino , F. Luna-González Servicio de Cirugía Ortopédica y Traumatología (4th floor), Hospital Universitario Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Espagne
i n f o
a r t i c l e
Historique de l’article : Rec¸u le 9 mai 2016 Accepté le 5 septembre 2016 Keywords: Pelvis fracture Urgent stabilization Pelvic compression External fixation Pre-tensed bar
a b s t r a c t 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 minutes, compatible with emergency management. © 2016 Elsevier Masson SAS. All rights reserved.
DOI de l’article original : http://dx.doi.org/10.1016/j.otsr.2016.09.013. 夽 Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. ∗ Auteur correspondant. Adresses e-mail : [email protected] (A. Queipo-de-Llano), [email protected] (M. Lombardo-Torre), [email protected] (A. Leiva-Gea), [email protected] (F.B. Delgado-Rufino), fl[email protected] (F. Luna-González). http://dx.doi.org/10.1016/j.rcot.2016.10.097 ´ ´ 1877-0517/© 2016 Elsevier Masson SAS. Tous droits reserv es.
Disponible en ligne sur
ScienceDirect www.sciencedirect.com
Note de technique
Fixateur externe antérieur avec préhension dans les fractures et luxations du bassin夽 Anterior pre-tensioned external fixator for pelvic fractures and dislocations. Initial clinical series A. Queipo-de-Llano , M. Lombardo-Torre ∗ , A. Leiva-Gea , F.B. Delgado-Rufino , F. Luna-González Servicio de Cirugía Ortopédica y Traumatología (4th floor), Hospital Universitario Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Espagne
i n f o
a r t i c l e
Historique de l’article : Rec¸u le 9 mai 2016 Accepté le 5 septembre 2016 Keywords: Pelvis fracture Urgent stabilization Pelvic compression External fixation Pre-tensed bar
a b s t r a c t 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 minutes, compatible with emergency management. © 2016 Elsevier Masson SAS. All rights reserved.
DOI de l’article original : http://dx.doi.org/10.1016/j.otsr.2016.09.013. 夽 Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. ∗ Auteur correspondant. Adresses e-mail : [email protected] (A. Queipo-de-Llano), [email protected] (M. Lombardo-Torre), [email protected] (A. Leiva-Gea), [email protected] (F.B. Delgado-Rufino), fl[email protected] (F. Luna-González). http://dx.doi.org/10.1016/j.rcot.2016.10.097 ´ ´ 1877-0517/© 2016 Elsevier Masson SAS. Tous droits reserv es.