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External fixation for pelvic ring disruptions
1Department of Surgery, Cooper Hospital/University Medical Center, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Camden, New Jersey 08103, USA.
The Orthopedic Clinics of North America
|July 1, 1997
Summary
External fixation is a critical, lifesaving treatment for unstable pelvic fractures. Proper patient evaluation, resuscitation, and injury classification are essential for selecting appropriate candidates for this acute intervention.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Medical Devices
Background:
- Unstable pelvic fractures pose significant risks and require prompt management.
- External fixation is a key intervention in the acute treatment of these injuries.
- Effective trauma team coordination is vital for successful outcomes.
Purpose of the Study:
- To outline the critical steps in managing patients with pelvic fractures.
- To detail the appropriate selection criteria for acute pelvic external fixation.
- To discuss techniques for pin placement and frame configuration in external fixation.
Main Methods:
- Comprehensive patient evaluation including physical examination and advanced imaging (plain films, CT scans).
- Classification of pelvic injuries to guide treatment decisions.
- Discussion of both open and percutaneous techniques for external fixator application.
Main Results:
- Adequate resuscitation and careful evaluation are prerequisites for external fixation.
- Accurate injury classification ensures appropriate patient selection.
- Various pin placement and frame configurations can be utilized.
Conclusions:
- External fixation is a potentially lifesaving procedure for unstable pelvic fractures.
- Meticulous patient assessment and classification are crucial for optimal results.
- Understanding different surgical techniques is essential for effective application.