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Related Experiment Videos

Simple anterior pelvic external fixation.

M C Tucker1, S E Nork, P T Simonian

  • 1Section of Orthopaedic Surgery, Medical College of Georgia, Augusta, USA.

The Journal of Trauma
|December 29, 2000
PubMed
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Simple anterior pelvic external fixation (SAPEF) effectively stabilizes unstable pelvic ring disruptions, reducing hemorrhage and maintaining reduction. This rapid technique is a valuable option for trauma resuscitation and definitive treatment.

Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Unstable pelvic ring disruptions carry high morbidity and mortality, particularly in polytrauma patients.
  • Early stabilization of pelvic injuries is crucial to control hemorrhage and improve outcomes.
  • A simple anterior pelvic external fixator (SAPEF) offers rapid stabilization during initial resuscitation.

Purpose of the Study:

  • To evaluate the efficacy and safety of simple anterior pelvic external fixation (SAPEF) for unstable pelvic ring disruptions.
  • To assess SAPEF as a potential temporary, definitive, or supplementary fixation method.

Main Methods:

  • A 32-month study involving 41 patients with unstable pelvic ring disruptions treated with SAPEF.
  • Fluoroscopic guidance was used for accurate pin insertion into the iliac crest (minimum 5 cm depth).

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  • Closed manipulative reduction of the pelvic ring was performed before SAPEF application.

    • Main Results:

    • 94% of fixation pins were accurately placed within the iliac cortical tables.
    • Initial pelvic reduction was maintained in 93% of patients until fixator removal.
    • Only one deep pin track infection occurred, requiring early frame removal and antibiotics.

    Conclusions:

    • SAPEF is a rapidly applicable technique for stabilizing pelvic ring injuries, utilizing fluoroscopic guidance for accuracy.
    • SAPEF facilitates effective closed reduction of the pelvis.
    • SAPEF serves as a versatile fixation option, adaptable for temporary, definitive, or supplementary roles in managing pelvic trauma.