back to 2011, vol. 17, b. 1

Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2011, vol. 17, book 1
Subject Collection: Medicine
Page: 166-171
DOI: 10.5272/jimab.2011171.166
Online date: November 07, 2011

J of IMAB 2011; 17(1):166-171
Pavlin Apostolov, Martin Burnev, Petar Milkov
Clinic of Orthopaedics and Traumatology MBAL “Saint Anna” Hospital - Varna, Bulgaria

The authors make a review and present their experience with the use of percutaneous external fixation techniques in pelvic fractures: (1) Transiliac placement (classic method – through the wings of the iliac bone, behind anterior superior iliac spine); (2) Sub-Iliac Crest technique (beneath and along the length of iliac crests); (3) Supra-acetabular Method (Frontal, antero-inferior). They review as well different variants of half-pin placement techniques and analyze the final results of external pelvic fixation study including 65 patients for 10-year period. The authors recommend more frequently usage of antero-inferior technique (supra-acetabular). According to them, this method exceeds the other techniques by many criteria.

Key words: Pelvic Fractures; Percutaneous Fixation; Half-pin placement techniques.

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1. Apostolov P, Jivkov M, Tilt-fractures of the pelvis – diagnosis and treatment, Bulgarian Journal of Orthopaedics and Traumatology. 2005., vol.42:162-166
2.  Riemer BL, Butterfield SL, Diamond DL, et al: Acute mortality associated with injuries to the pelvic ring: The role of early patient mobilization and external fixation. J Trauma 35:671-677, 1993.
3. Egberg HJ, Drajher F, HavemanD, et al. Stabilisierung des beckenrings mit fixateur externe-biomahanische untersuchungen und klinische erfahrungen. Orthopade 1992; 21:363-372
4. Kim WY, Hearn TC, Seleem O, Mahalingam E, Stephen D, Tile M. Effect of pin location on stability of pelvic external fixation. Clin Orthop Relat Res. 1999 Apr;(361):237-44. [PubMed]
5. Bircher MD. Indication and techniques of external fixationof the injured pelvis. Injury. 1996;27 Suppl 2:B3-19 [PubMed]
6. Ertel W. General assessment and management of the polytrauma patient. In: Tile M, Helfet D, Kellam J. eds. Fractures of the pelvis and acetabulum. 3rd ed. Philadelphia: Lippincott, Williams and Wilkins, 2003:61-79
7. Pohlemann T, Regel G, Bosch U, et al. Notfallbehandlung und komplextrauma. In: Tscherne H, Pohleman T, eds. Becken and acetabulum.Berlin: Springer; 1998: 89-116
8. McRae R. Practical fracture treatment. Churchill Livingstone 1994 3rd ed. 239-242.
9. Solomon LB, Pohl AP, Sukthankar A, Chehade MJ. The subcristal pelvic external fixator: technique, results, and rationale. J Orthop Trauma. 2009 May-Jun;23(5):365-369. [doi: 10.1097/BOT.0b013e3181a2aec3 ] [PubMed]
10. Waikakul S; Kojaranon N; Vanadurongwan V, Harnroongroj T. An aiming device for pin fixation at the iliac crest for external fixation in unstable pelvic fracture. Injury 1998 Dec;29(10): 757-762. [PubMed]
11. Ganz R, Krushell RJ, Jakob RP, Küffer J. The antishock pelvic clamp. Clin Orthop Relat Res. 1991 Jun; 267:71-78 [PubMed]  
12. Buckle R, Browner B, Morandi M. Emergency reduction for pelvic ring disruptions and control of associated hemorrhage using the pelvic stabilizer, Techniques in Orthopaedics Winter 1994; 9(4):258-266.

Please cite this article as: Apostolov P. Burnev M. Milkov P. Methods and Techniques of Percutaneous External Fixation in Pelvic Fractures. J of IMAB 2011; 17(1):166-171. doi:10.5272/jimab.2011171.166

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