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[A simple supraacetabular external fixation for pelvic ring fractures].

Axel Gänsslen1, Tim Pohlemann, Christian Krettek

  • 1Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, D-30625 Hannover, Germany. gaensslen.axel@mh-hannover.de

Operative Orthopadie Und Traumatologie
|September 1, 2005
PubMed
Summary

External fixation effectively stabilizes pelvic ring fractures, including complex type B and C injuries. This method shows low complication rates and good outcomes for anterior pelvic ring stabilization in adults and children.

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A Stable Solution: Biomechanical Assessment of External Fixators for the Treatment of Pelvic Injury Type AO61C1.3a.

Injury·2025

Area of Science:

  • Orthopedic surgery
  • Trauma management
  • Skeletal stabilization techniques

Context:

  • Pelvic ring injuries present complex challenges in trauma care.
  • External fixation offers a minimally invasive approach for pelvic stabilization.
  • Management strategies vary for different fracture types (B and C) and patient populations.

Purpose:

  • To evaluate the efficacy and safety of external fixation for pelvic ring injuries.
  • To assess outcomes in adult and pediatric patients with type B and C pelvic fractures.
  • To analyze complication rates associated with supraacetabular external fixators.

Summary:

  • This study retrospectively analyzed 64 supraacetabular external fixator applications for pelvic ring stabilization in type B and C fractures.

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  • The technique involved percutaneous Schanz screw insertion and closed reduction, demonstrating effective stabilization.
  • Results showed a low incidence of complications, including transient sensory disturbances and no significant displacements, with one case of pseudarthrosis requiring intervention.

    • Impact:

    • External fixation provides a reliable method for stabilizing the anterior pelvic ring in various pelvic fractures.
    • The technique is associated with minimal complications and supports early patient mobilization.
    • This approach contributes to improved outcomes in the management of severe pelvic ring injuries.