| Autor: |
Wojahn RD; From the Department of Orthopaedics and Sports Medicine, Harborview Medical Center, Seattle, WA (Dr. Wojahn) and the Department of Orthopaedic Surgery, Stanford University, Stanford, CA (Dr. Gardner)., Gardner MJ |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2019 Sep 15; Vol. 27 (18), pp. 667-676. |
| DOI: |
10.5435/JAAOS-D-17-00839 |
| Abstrakt: |
Treatment of anterior pelvic ring injuries involves both acute stabilization during the initial resuscitation and definitive fixation. Definitive management has evolved substantially over the past 40 years with improved patient mobilization and long-term outcomes. Although its use has recently declined, external fixation remains a favorable option in certain situations. Symphyseal plating is the preferred technique for stabilization of symphyseal diastasis because of superior stability and low morbidity. Ramus screws can be effective for simple ramus fractures but require a careful technique because of the proximity of neurovascular structures. The subcutaneous internal fixator provides a good option for obese patients in whom external fixation would be poorly tolerated. Regardless of fixation strategy, posterior ring reduction and stabilization is crucial. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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