Iliosacral Screw Fixation in Patients with Polytrauma
| Autor: | I. V. Kazhanov, V. A. Manukovskiy, I. M. Samokhvalov, S. I. Mikityuk, Ya. V. Gavrishchyuk |
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| Jazyk: | ruština |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Travmatologiâ i Ortopediâ Rossii, Vol 25, Iss 1, Pp 80-91 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2311-2905 2542-0933 |
| DOI: | 10.21823/2311-2905-2019-25-1-80-91 |
| Popis: | The need to perform iliosacral fixation in patients with polytrauma and unstable pelvic injuries in the acute period of injury is still an unresolved issue. Minimally invasive techniques of pelvis internal fixation allow to perform single step reconstructive surgery in the acute period of the trauma.Purpose — to evaluate the results of minimally invasive acute iliosacral fixation in patients with polytrauma and unstable pelvic injuries.Materials and methods. The authors analyzed treatment outcomes in 105 patients with polytrauma and unstable pelvic injuries after iliosacral screw fixation in acute period. 69 (65.7%) patients had B-type and 36 (34.3%) patients had c-type of unstable pelvic injuries by AO/ASIF classification. Mean age was 35.5±11.7 years. The severity of injury on the ISS scale was 22.5±12.9 points. Ап patients underwent minimally invasive iliosacral fixation with screws in the acute period of the trauma.Results. Patients classified according to the severity of their status as «stable» (n = 50) and «borderline» (n = 26) with stable hemodynamics (SAD >90 mm Hg) underwent minimally invasive iliosacral screw fixation of posterior pelvic ring straight in the anti-shock surgery. Injured classified as «unstable» (n = 15) and «borderline» (n = 14) with unstable hemodynamic parameters (SAD |
| Databáze: | Directory of Open Access Journals |
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