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Title: Anterior pre-tensioned external fixator for pelvic fractures and dislocations. Initial clinical series.
Authors: Queipo-de-Llano, A
Lombardo-Torre, M
Leiva-Gea, A
Delgado-Rufino, F B
Luna-González, F
Keywords: External fixation;Pelvic compression;Pelvis fracture;Pre-tensed bar;Urgent stabilization
metadata.dc.subject.mesh: Acetabulum
Bone Screws
External Fixators
Fracture Fixation
Fractures, Bone
Joint Dislocations
Middle Aged
Operative Time
Pelvic Bones
Issue Date: 18-Nov-2016
Abstract: In the treatment of unstable pelvic ring fractures, external fixators have the limitation of not adequately stabilizing the injured posterior elements. This article presents a novel and simple technique of temporary external fixation of the pelvic ring, able to produce compression of both the anterior and posterior pelvic elements. A curved flexible carbon-fiber rod is used, pre-tensioned before attachment to supra-acetabular Schanz screws. Although more extensive clinical experience is required, favorable preliminary results in a series of 13 patients with unstable pelvic fracture were encouraging: the aim of closing the posterior and anterior elements of the pelvic ring was achieved in all cases treated with this technique, and 12 patients survived. Radiological results were excellent in 3 cases and good in 9 cases. No major complications, such as secondary displacement, vertical re-displacement or deep infection, were observed. Mean operative time was 25min, compatible with emergency management.
metadata.dc.identifier.doi: 10.1016/j.otsr.2016.09.013
Appears in Collections:Producción 2020

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