Distraction external fixation in lateral compression pelvic fractures.

Area of Science:

• Orthopedic surgery
• Trauma care
• Skeletal reconstruction

Background:

• Displaced vertically stable lateral compression pelvic fractures require effective treatment.
• Minimally invasive techniques are sought for pelvic fracture management.

Purpose of the Study:

• To describe the technique and evaluate the outcomes of closed reduction and supra-acetabular external fixation for pelvic fractures.
• To assess the feasibility of immediate weight bearing in these patients.

Main Methods:

• Prospective study of fourteen patients with pelvic fractures.
• Treatment involved closed reduction and a two-pin supra-acetabular external fixator.
• Immediate weight bearing was initiated post-operatively.

Main Results:

• All patients achieved symmetric reduction and healed within an average of 8.2 weeks.
• Average surgical time was 37 minutes with minimal blood loss (<50ml).
• Patients achieved full weight bearing within 12 days, with minor complications reported.

Conclusions:

• Anterior distraction external fixation is effective, simple, and minimally invasive for type B pelvic injuries.
• The technique allows for minimal surgical time, blood loss, and rapid patient mobilization.
• This method is a valuable treatment option for specific pelvic ring fractures.