Related Experiment Video
Updated: Aug 7, 2025
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
514
Pelvic Reduction Frame Facilitating Percutaneous Fixation to Pelvic Fractures
1Orthopaedic Trauma, Alaska Native Medical Center, Anchorage, Alaska, USA.
Orthopaedic Surgery
|March 14, 2023
Summary
This study reports on using a modified reduction frame for treating vertically displaced pelvic ring injuries. The technique facilitates fracture reduction and subsequent percutaneous fixation, offering a viable treatment option.
Area of Science:
- Orthopedic surgery
- Trauma management
Background:
- This article details a retrospective analysis of 43 patients with unilateral unstable, vertically displaced pelvic ring injuries.
- A modified Starr Frame® was utilized, featuring a lower profile, enhanced accessibility, and versatile pin placement for pelvic fracture reduction.
Discussion:
- The study describes a novel technique for "unlocking" pelvic fractures, involving multiplanar traction and direct manipulation for disimpaction.
- The described method, Unlocking Closed Reduction Technique (UCRT), employs lateral distraction, femoral supracondylar traction, and supracetabular manipulation.
Key Insights:
- The technique involves securing the patient to the reduction frame and OR table, followed by stepwise application of multiplanar tractions.
- Reduction is achieved through controlled distraction and manipulation, preparing the fracture for definitive fixation.
Outlook:
- The article outlines the subsequent percutaneous fixation using cannulated screws for the posterior ring and either external fixation or internal fixation device (INFIX) anteriorly.
- This approach aims to provide stable fixation for complex pelvic ring disruptions.
