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External pelvic fixation in an infant: a case report
E V Lim1, L M Abrahan, T L Altre
1Department of Orthopaedic Surgery, University of Cincinnati, Ohio 45267-0212, USA.
The Journal of Trauma
|May 1, 1995
Insights
A small external fixator effectively stabilized a severe pelvic fracture in an infant. This device maintained hemodynamic control in a pediatric patient with complex pelvic and genitourinary injuries.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
- Urology
Background:
- Severe complex pelvic fractures in infants are rare and challenging injuries.
- Associated prostatic and urethral injuries complicate management and increase morbidity.
- Optimal stabilization techniques for pediatric pelvic trauma require careful consideration.
Observation:
- An 18-month-old infant presented with a severe complex pelvic fracture.
- The infant also sustained significant prostatic and urethral injuries.
- A small-frame Hoffman external fixator was applied for pelvic stabilization.
Findings:
- The small-frame Hoffman external fixator provided adequate pelvic stabilization in this pediatric case.
- Hemodynamic control was successfully maintained throughout the treatment period.
- External fixation proved a viable option for managing complex pelvic fractures in young children.
Implications:
- Small-frame external fixators can be a safe and effective treatment for severe pediatric pelvic fractures.
- This approach may help prevent complications associated with pelvic instability and genitourinary trauma.
- Further research into external fixation for complex pediatric pelvic injuries is warranted.
Abstract:
We report on the use of a small-frame Hoffman external fixator on an 18-month-old, 25-pound infant with a severe complex pelvic fracture and prostatic and urethral injury. The small-frame external fixator was found to be adequate in stabilizing the pelvis and maintaining hemodynamic control.