Article
Orthopedics
Chul-Ho Kim, Jung Jae Kim, Ji Wan Kim
Summary: This study compared the clinical outcomes and complications of two minimally invasive surgical techniques for treating C-type pelvic bone fractures. The results showed that both percutaneous transiliac plate fixation and iliosacral screw fixation had good treatment results, but there were differences in postoperative complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Multidisciplinary Sciences
Michal Kulakowski, Pawel Reichert, Karol Elster, Pawel Sleczka, Lukasz Oleksy, Aleksandra Krolikowska
Summary: The retrospective study determined the efficacy and safety of using two tension band ilioiliac locking compression plates for fixation of FFP type IV fractures. The study included 41 patients treated from 2017-2020, and the results showed significant improvement in functional outcomes and performance after one year of treatment. The fixation method was proven to be efficient and safe, with minimal complications.
SCIENTIFIC REPORTS
(2022)
Article
Orthopedics
Hua Chen, Qun Zhang, Yan Wu, Zuhao Chang, Zhengguo Zhu, Wei Zhang, Peifu Tang
Summary: The study successfully treated irreducible UVDPRD patients using UCRT assisted by improved PCRS, achieving excellent surgical outcomes with no need for revision surgery and excellent lower-extremity functionality postoperatively.
ORTHOPAEDIC SURGERY
(2021)
Article
Medicine, General & Internal
Katharina Jaeckle, Takashi Yoshida, Kira Neigefink, Marc-Pascal Meier, Mark-Tilmann Seitz, Thelonius Hawellek, Gabriela von Lewinski, Paul Jonathan Roch, Lukas Weiser, Arndt F. Schilling, Wolfgang Lehmann
Summary: Iliosacral joint immobilization causes task-dependent deviations in walking, such as increased plantarflexor force and altered joint movements. Patients experience significant mobility limitation after iliosacral screw fixation.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Xu-Song Li, Li-Ben Huang, Yu Kong, Meng-Qiang Fan, Yang Zheng, Jie-Feng Huang
Summary: The study investigated the clinical effects of using a modified percutaneous iliosacral screw and INFIX technique for treating unstable pelvic fractures, showing successful treatment outcomes in all 22 cases without loss of reduction or delayed union during follow-up. The patients also exhibited good VAS and Majeed scores at the two-year postoperative mark, highlighting the safety and efficacy of this modified technique.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Nicholas J. Tucker, Bryan L. Scott, Austin Heare, Stephen C. Stacey, Cyril Mauffrey, Joshua A. Parry
Summary: This study aimed to compare hospital outcomes and late displacement between stress-positive minimally displaced lateral compression type 1 (LC1) pelvic ring injuries treated with combined anterior-posterior versus posterior-only fixation. The results showed that anterior-posterior fixation resulted in longer operative times and had a trend of increased estimated blood loss, but patients in this group required less inpatient morphine equivalent doses, were more likely to clear physical therapy (PT) by discharge, were less likely to discharge to rehabilitation facilities, and had a trend of less days to clear PT after surgery and decreased hospital length of stay. Late fracture displacement did not differ between groups.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Biology
Jixuan Liu, Yadong Yan, Ke Xu, Chunpeng Zhao, Yu Wang, Xinbao Wu, Wei Tian
Summary: Pelvic fracture is a severe injury with high mortality and disability rates. Surgical treatment of pelvic fracture is challenging due to the complex pelvic morphology and soft tissue anatomy. This study focuses on three commonly used pelvic holding pathways and identifies the most effective force direction for each pathway through finite element modeling. The use of a combined holding strategy can reduce reduction force, with the 3-pin combined strategy showing advantages in rotational reduction.
COMPUTERS IN BIOLOGY AND MEDICINE
(2023)
Article
Orthopedics
Mehdi Boudissa, Delphine Carmagnac, Gael Kerschbaumer, Sebastien Ruatti, Jerome Tonetti
Summary: This study aimed to evaluate the impact of navigation on the accuracy of iliosacral screw positioning and radiation exposure. The results showed that navigation improved screw positioning in dysmorphic sacra, but led to longer operative time and higher radiation dose for patients.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
Article
Orthopedics
Wei Han, Teng Zhang, Yong-Gang Su, Chun-Peng Zhao, Li Zhou, Xin-Bao Wu, Jun-Qiang Wang
Summary: Robot-assisted S-2 IS screw fixation for unstable pelvic fractures showed better outcomes in terms of screw placement, fluoroscopy time, and number of guide wire attempts compared to the traditional freehand method.
ORTHOPAEDIC SURGERY
(2022)
Article
Critical Care Medicine
Natasha S. McKibben, Nicolas H. Zingas, Kathleen M. Healey, Caroline A. Benzel, David J. Stockton, Haley Demyanovich, Gerard P. Slobogean, Robert O'Toole, Marcus F. Sciadini, Nathan N. O'Hara
Summary: There is no significant difference in pain and function between patients with unstable posterior pelvic fractures who undergo iliosacral screw removal and those who retain their screws. Surgeons should consider these data when managing patients who require iliosacral screw removal.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Baoming Yuan, Guangkai Ren, Yutao Cui, Feng Gao, Weiwei Miao, Zhengwei Li, Shicheng Zhou, Qingyu Wang, Yanbing Wang, Jin Dai, Chuangang Peng, Dankai Wu
Summary: The covert-inferior pelvic approach combined with a subpubic plate effectively fixed Nakatani type-I, II, and III fractures. It offers rapid recovery post-surgery, safety, simplicity, short learning curve, no abdominal soft tissue damage, no effect on pubic symphysis micromotion, and esthetic benefits. This method may serve as an alternative option for anterior pelvic ring fractures and complement other approaches.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Critical Care Medicine
Michael Sarter, Leon Brodhun, Christian F. Krieglstein, Thomas C. Koslowsky
Summary: This study retrospectively analyzed 97 patients with posterior ring fractures treated with 137 percutaneous iliosacral screws. It was found that patients with steeper S1 pedicles were more likely to have intraforaminal screw positions and require revision surgery.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Medicine, General & Internal
Michal Kulakowski, Pawel Reichert, Karol Elster, Jaroslaw Witkowski, Pawel Sleczka, Piotr Morasiewicz, Lukasz Oleksy, Aleksandra Krolikowska
Summary: This study compared the accuracy and radiation exposure between 2D and 3D fluoroscopy-guided placement of sacroiliac screws. The results showed no significant differences in screw positioning accuracy and radiation dose between the two methods. Thus, using 3D fluoroscopy does not provide advantages over 2D fluoroscopy in placing iliosacral screws.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Critical Care Medicine
Yangxing Luo, Hua Chen, Li He, Chengla Yi
Summary: This study aimed to evaluate the clinical effect of the unlocking closed reduction technique (UCRT) for displaced posterior pelvic ring fractures. Results showed that UCRT treatment is associated with excellent/good radiological results. However, in patients with AO/OTA type C3 fractures and osteoporosis, a backup plan of open reduction should be prepared.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Mitchel R. Obey, Katherine E. Buesser, Erin L. Hofer, Anna N. Miller
Summary: This study assessed patient outcomes after CRPF using PROMIS scores, finding significant improvements in physical function, pain interference, and anxiety at follow-up. However, results were limited by small sample size.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)