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Bilateral vertical shear sacroiliac joint dislocations treated with bilateral triangular osteosynthesis in a young
Kevin Steelman1, Reid Russell1, Rahul Vaidya1
1Detroit Medical Center, Department of Orthopaedic Surgery, 4201 St Antoine, Detroit, MI 48201, United States of America.
Case:
Type C pelvic ring fractures account for only 0.34% of all pelvic fractures (Zhang, 2012 [1]). Anterior and posterior pelvic fixation is necessary in these injuries and can be accomplished using a variety of techniques. This study presents a case of bilateral vertical shear sacroiliac joint dislocations with an associated hip dislocation and pubic rami fractures that was treated with bilateral triangular osteosynthesis and INFIX.
Conclusion:
This is the first reported case of bilateral vertical shear sacroiliac joint dislocation treated with triangular osteosynthesis. Anterior pelvic fixation with INFIX and posterior fixation with lumbopelvic and percutaneous sacroiliac screws resulted in excellent radiographic and clinical outcomes.
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