Journal List > J Korean Fract Soc > v.26(4) > 1037956

Min, Lee, Kim, and Kwon: Complications of Pelvic Ring Injury

Figures and Tables

Fig. 1
(A) A 79-year-old male patient with Tile type C1 unstable pelvic fractures which were determined as left crescent fracture, sacroiliac joint disruption and symphysis pubis diastasis on 3-dimensional computed tomographys.
(B) Embolization with gelfoam and microcoil about the inferior epigastric artery (arrow).
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Fig. 2
(A, B) A 28-year-old male patient with Tile type C1 unstable pelvic fractures which were determined as right crescent fracture including the ipsilateral superior and inferior rami on X-ray and 3-dimensional computed tomography.
(C) Conservative therapy with skeletal traction about 2 months due to liver injury.
(D) Osteotomy and multiple plate fixation about the malunion site of the ilium and ramus. Postoperative X-ray shows stable fixation but the right hemipelvis was rotated internally and migrated about 1 cm upward.
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Fig. 3
(A, B) A 39-year-old female patient with Tile type C3 unstable pelvic fracture with left sacral fracture, which were both superior and inferior rami fractures on X-ray and 3-dimensional computed tomographys.
(C) Delayed operation due to problems with the patient's general condition. postoperative x-ray shows plate fixation on the left ramus, posterior sacral fracture.
(D) At 1 year, the left ramus and posterior sacral fracture site were nonunion and metal breakage on follow X-ray.
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Table 1
Associated Complications of Pelvic Ring Fracture
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References

1. Buerger PM, Peoples JB, Lemmon GW, McCarthy MC. Risk of pulmonary emboli in patients with pelvic fractures. Am Surg. 1993; 59:505–508.
2. Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma. 1990; 30:848–856.
3. Colapinto V. Trauma to the pelvis: urethral injury. Clin Orthop Relat Res. 1980; (151):46–55.
crossref
4. Denis F, Davis S, Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res. 1988; 227:67–81.
5. Griffin DR, Starr AJ, Reinert CM, Jones AL, Whitlock S. Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure? J Orthop Trauma. 2003; 17:399–405.
crossref
6. Grotz MR, Allami MK, Harwood P, Pape HC, Krettek C, Giannoudis PV. Open pelvic fractures: epidemiology, current concepts of management and outcome. Injury. 2005; 36:1–13.
crossref
7. Hak DJ, Olson SA, Matta JM. Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavallée lesion. J Trauma. 1997; 42:1046–1051.
crossref
8. Kellam JF, McMurtry RY, Paley D, Tile M. The unstable pelvic fracture. Operative treatment. Orthop Clin North Am. 1987; 18:25–41.
9. Kiely N, Williams N. Sexual dysfunction in women following pelvic fractures with sacro-iliac disruption. Injury. 1996; 27:45–46.
crossref
10. Kurylo JC, Tornetta P 3rd. Initial management and classification of pelvic fractures. Instr Course Lect. 2012; 61:3–18.
11. Matta JM, Dickson KF, Markovich GD. Surgical treatment of pelvic nonunions and malunions. Clin Orthop Relat Res. 1996; (329):199–206.
crossref
12. Matta JM, Saucedo T. Internal fixation of pelvic ring fractures. Clin Orthop Relat Res. 1989; (242):83–97.
crossref
13. Matta JM, Tornetta P 3rd. Internal fixation of unstable pelvic ring injuries. Clin Orthop Relat Res. 1996; (329):129–140.
crossref
14. Moed BR, Geer BL. S2 iliosacral screw fixation for disruptions of the posterior pelvic ring: a report of 49 cases. J Orthop Trauma. 2006; 20:378–383.
crossref
15. Moed BR, Karges DE. Techniques for reduction and fixation of pelvic ring disruptions through the posterior approach. Clin Orthop Relat Res. 1996; (329):102–114.
crossref
16. O'brien DP, Luchette FA, Pereira SJ, et al. Pelvic fracture in the elderly is associated with increased mortality. Surgery. 2002; 132:710–714.
17. Oxford CF, Stein A. Complicated crushing injuries of the pelvis. J Bone Joint Surg Br. 1967; 49:24–32.
18. Pennal GF, Massiah KA. Nonunion and delayed union of fractures of the pelvis. Clin Orthop Relat Res. 1980; (151):124–129.
crossref
19. Rai SK, Far RF, Ghovanlou B. Neurologic deficits associated with sacral wing fractures. Orthopedics. 1990; 13:1363–1366.
crossref
20. Routt ML Jr, Kregor PJ, Simonian PT, Mayo KA. Early results of percutaneous iliosacral screws placed with the patient in the supine position. J Orthop Trauma. 1995; 9:207–214.
crossref
21. Ruedi TP, Buckley R, Moran CG. AO principles of fracture management. Davos Platz: George Thieme Verlag;2007.
22. Tile M, Helfet DL, Kellam JF. Fractures of the pelvis and acetabulum. 3rd ed. Philadelphia: Lippincott Williams & Wilkins;2003.
23. Tornetta P 3rd, Matta JM. Outcome of operatively treated unstable posterior pelvic ring disruptions. Clin Orthop Relat Res. 1996; (329):186–193.
crossref
24. Tseng S, Tornetta P 3rd. Percutaneous management of Morel-Lavallee lesions. J Bone Joint Surg Am. 2006; 88:92–96.
crossref
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