Mapping of Pelvic Ring Injuries From High-Energy Trauma Using Unfolded CT Image Technology.

Autor:	Mills AT; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN., LaRoque MC; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN.; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, MN; and., Thomas CN; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN.; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, MN; and., George AV; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN., Albright PA; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN.; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, MN; and., Cole PA; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN.; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, MN; and.; HealthPartners Orthopaedics & Sports Medicine, Bloomington, MN.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic trauma [J Orthop Trauma] 2023 May 01; Vol. 37 (5), pp. 257-261.
DOI:	10.1097/BOT.0000000000002544
Abstrakt:	Objectives: High-energy pelvic ring injuries are associated with significant morbidity and mortality, elevating the importance of injury pattern identification. The purpose of this study was to use a novel 3D computed tomography (CT) unfolding process to both evaluate high-energy pelvic ring injures and to produce injury frequency maps based on injury patterns. Methods: Patients 18-65 years of age presenting to a level 1 trauma center with pelvic ring injuries between 2016 and 2020 were identified. Of the 482 patients reviewed, 355 were excluded primarily due to having a low energy mechanism, inadequate radiographs, or an isolated fracture. Unfolded pelvic CT images were created using syngo.via CT Bone Reading software. Pelvic ring injury frequency maps were created using the unfolded pelvic CT images and a previously described mapping technique. Results: One hundred twenty-seven patients analyzed had a mean age of 32.7 years. The most common mechanisms of injury (MOI) were motor vehicle collision (30.7%) and fall from height (23.6%). The breakdown of pelvic ring injuries included LC1 = 44.1%, LC2 = 7.1%, LC3 = 14.2%, APC1 = 2.4%, APC2 = 15.0%, APC3 = 5.5%, and VS = 11.8%, with OTA/AO-61B = 74.0% and OTA/AO-61C = 26.0%. Pelvic ring mapping revealed that articular and bony injuries varied markedly between the different types of pelvic ring disruptions, both in type and location. Conclusions: Pelvic ring injury frequency maps created from unfolded CT images reflect consistent injury patterns providing distinctive information based on force vector mechanisms. Unfolded CT images allow for a novel way to visualize pelvic ring injuries which yield greater comprehension of failure patterns with implications for treatment. Competing Interests: P. Cole, is currently receiving institutional grant support from Stryker Inc, Depuy-Synthes, KLS Martin, AONA, COTA, OMeGA, Zimmer-Biomet, and Acumed; receives personal fees from AO foundation, Exactech, J&J DepuySynthes, and KLS Martin; and is a stockowner in Bonefoams, Inc. An institutional research grand in the form of in-kind support was received from Siemens, Incorporated. The remaining authors report no conflict of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu