Experimental development and clinical application minimally invasive internal pelvic ring fixation

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Abstract

The method of minimum invasive internal rod fixation of the pelvic ring elaborated at the Chair of Military Traumatology and Orthopaedics, Military Medical Academy, is presented. Suggested method allowed to perform anatomically precise fragment reposition and internal functional stable fixation of the pelvic ring by small surgical intervention and low intraoperative blood loss when fixation was performed at early terms after trauma. In 16 patients with unstable pelvic injuries treated by that method neither unsatisfactory anatomic outcomes nor secondary dis­placement of pelvic bones under the functional load were noted. In uncomplicated pelvic injuries the duration of hospital treatment and medical rehabilitation was 31.5 and 51.2 days, respec­tively. In syndrome of vertical instability of the anterior semi-ring was 27.8 and 43.4 days, respectively.

About the authors

V. M. Shapovalov

Military Medical Academy

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, St. Petersburg

A. K. Dulaev

Military Medical Academy

Email: info@eco-vector.com
Russian Federation, St. Petersburg

A. V. Dydykin

Military Medical Academy

Email: info@eco-vector.com
Russian Federation, St. Petersburg

References

Supplementary files

Supplementary Files
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1. JATS XML
2. Rice. 1. A 19-year-old patient with an absolutely unstable pelvic injury: a closed fracture of the branches of both pubic bones, a rupture of the left sacroiliac joint, a fracture of the right lateral mass of the sacrum. The fixation was made by the internal rod system. a — radiograph of the pelvis upon admission of the patient to the clinic; b — external view of the internal rod system after stabilization of the front half ring; c — radiograph of the pelvis after internal rod fixation.

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3. Rice. 2. A 27-year-old patient with an absolutely unstable pelvic injury: a closed fracture of the branches of the left pubic bone and the left lateral mass of the sacrum. The pelvic ring was fixed using bone supports. a — computed tomography of the pelvis upon admission of the patient to the clinic; b — radiograph of the pelvis after surgical treatment.

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4. Rice. 3. A 17-year-old patient with an absolutely unstable pelvic injury: a closed fracture of both branches of the right pubic bone, a complete vertical fracture of the wing of the right iliac bone with displacement of fragments. Internal stabilization of the pelvis was performed using two reconstructive plates and a minimally invasive rod system. a - X-ray of the pelvis upon admission of the patient to the clinic; b — after surgical treatment.

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