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Repair of Pediatric LC3 Pelvic Ring Injury
Atticus Coscia1, Erik Nakken1, Michal Jandzinski1
1Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI.
Insights
Lateral compression 3 pelvic ring fractures are serious injuries often involving a crescent fracture. This review details pediatric treatment strategies, focusing on open and percutaneous fixation techniques for this specific fracture pattern.
Area of Science:
- Orthopedic surgery
- Pediatric trauma
- Pelvic ring injuries
Background:
- Lateral compression 3 pelvic ring injuries represent high-energy trauma.
- These injuries can feature a distinct "crescent fracture" pattern.
- Accurate assessment is crucial for effective surgical planning.
Purpose of the Study:
- To review the reduction and fixation of pediatric lateral compression 3 pelvic ring injuries.
- To highlight the management of associated crescent fractures.
- To compare open and percutaneous fixation techniques.
Main Methods:
- Literature review focusing on pediatric pelvic ring fractures.
- Analysis of surgical techniques for crescent fracture reduction and fixation.
- Discussion of open and percutaneous approaches.
Main Results:
- Crescent fractures are a key consideration in LC3 pelvic injuries.
- Both open and percutaneous methods can be employed for fixation.
- Technique selection depends on fracture complexity and surgeon expertise.
Conclusions:
- Pediatric LC3 pelvic ring injuries require careful management.
- Understanding crescent fracture patterns informs fixation strategy.
- Open and percutaneous techniques offer viable options for treating these complex injuries.
Summary:
Lateral compression (LC) 3 pelvic ring injuries are high energy, complex patterns that may include a "crescent fracture," which is an important consideration when determining the appropriate fixation tactic. This review discusses the reduction and fixation of a pediatric LC3 pelvic ring injury with particular focus on the open and percutaneous techniques for treatment of a crescent fracture.
