Superior pubic ramus fixation with titanium elastic nails-surgical technique.

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Pelvic Fracture Management

Background:

• Superior pubic rami fractures often accompany posterior pelvic ring disruptions.
• Combined anterior and posterior pelvic fixation improves stability and clinical outcomes.
• Minimally invasive techniques for pubic rami fractures reduce wound complications and preserve soft tissues.

Purpose of the Study:

• To describe a surgical technique for treating simple pubic rami fractures with posterior pelvic ring disruptions.
• To evaluate the use of an intramedullary elastic titanium nail (TEN) for superior pubic rami fracture fixation.

Main Methods:

• A surgical procedure involving the placement of an intramedullary elastic titanium nail (TEN) for superior pubic rami fractures was performed.
• This technique addresses both anterior pelvic arch and posterior ring disruptions.

Main Results:

• The described technique provides fixation for superior pubic rami fractures.
• Minimally invasive fixation potentially decreases wound-related complications.

Conclusions:

• The intramedullary elastic titanium nail (TEN) technique is a viable alternative for fixing superior pubic rami fractures associated with posterior pelvic ring disruptions.
• This method offers advantages in terms of stability and reduced complications.