Achieve Closed Reduction of Irreducible, Unilateral Vertically Displaced Pelvic Ring Disruption with an Unlocking Closed Reduction Technique
| Autor: | Wei Zhang, Peifu Tang, Zheng-guo Zhu, Hua Chen, Yan Wu, Qun Zhang, Zuhao Chang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Cohort Studies Fracture Fixation Internal Fractures Bone Young Adult 03 medical and health sciences 0302 clinical medicine Screw fixation Blood loss Pelvic ring medicine Humans Internal fixation Orthopedics and Sports Medicine Pelvic fracture Pelvic Bones Pedicle screw Reduction (orthopedic surgery) Aged Retrospective Studies Fixation (histology) Orthopedic surgery Aged 80 and over 030222 orthopedics Clinical Article business.industry Retrospective cohort study Middle Aged Closed reduction medicine.disease Closed Fracture Reduction Surgery Clinical Articles Female business RD701-811 030217 neurology & neurosurgery |
| Zdroj: | Orthopaedic Surgery Orthopaedic Surgery, Vol 13, Iss 3, Pp 942-948 (2021) |
| ISSN: | 1757-7861 1757-7853 |
| Popis: | Objective To be able to treat irreducible unilateral vertically displaced pelvic ring disruption (UVDPRD) using closed reduction, we introduced a technique named Unlocking Closed Reduction Technique (UCRT) and evaluated its effectiveness with improved pelvic closed reduction system (PCRS). Methods A retrospective study was performed in our department. Between January 2014 and December 2017, 43 patients whose UVDPRD were not successfully reduced using transcondylar traction. Subsequently, they were treated with UCRT using improved PCRS. The study included 19 male and 24 female patients, with a mean age at the time of the operation of 46.2 years. During surgery, operation time and blood loss were recorded. Post‐surgical reduction quality was evaluated using Matta scoring criteria and patient lower‐extremity functional outcome was evaluated using Majeed functional scoring criteria. Results When used with improved PCRS, UCRT achieved pelvic reduction in all 43 cases of irreducible UVDPRD with postoperative pelvic reduction quality rated excellent and good for 42/43 (97.6%) patients according to the Matta scoring criteria (Matta Score Unlocking Closed Reduction Technique (UCRT) first unlocks the dislocated iliosacral joint or overlapping edges of the sacral fracture through a force generated by framed‐based unlocking reduction device (FBURD) that pulls the posterior ilium laterally and then corrects the cranial and posterior displacement of posterior ring through transcondylar traction force. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|