Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules
Objective: To evaluate the treatment outcomes of patients with pelvic ring injury by applying step-by-step external pelvic fixation and circular external fixation device. Methods: A total of 28 patients suffering from disintegrated pelvic ring injury are involved in the study. Fourteen patients (the...
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Wolters Kluwer Medknow Publications
2016
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Online Access: | https://doi.org/10.1016/j.apjtb.2015.11.002 https://doaj.org/article/013771a1a1e8493295db9b7b5dd9a9ae |
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ftdoajarticles:oai:doaj.org/article:013771a1a1e8493295db9b7b5dd9a9ae 2023-05-15T15:13:22+02:00 Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules Ivan Viktorovich Borozda Nikolay Alexandrovich Ganzhurov Alexander Alexandrovich Kapustyansky Roman Valerievich Nikolaev Kirill Sergeevich Golokhvast 2016-02-01T00:00:00Z https://doi.org/10.1016/j.apjtb.2015.11.002 https://doaj.org/article/013771a1a1e8493295db9b7b5dd9a9ae EN eng Wolters Kluwer Medknow Publications http://www.sciencedirect.com/science/article/pii/S2221169115002610 https://doaj.org/toc/2221-1691 2221-1691 doi:10.1016/j.apjtb.2015.11.002 https://doaj.org/article/013771a1a1e8493295db9b7b5dd9a9ae Asian Pacific Journal of Tropical Biomedicine, Vol 6, Iss 2, Pp 164-172 (2016) Unstable pelvic injuries External fixation Separate step-by-step reposition Traumatology Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 article 2016 ftdoajarticles https://doi.org/10.1016/j.apjtb.2015.11.002 2022-12-31T01:18:37Z Objective: To evaluate the treatment outcomes of patients with pelvic ring injury by applying step-by-step external pelvic fixation and circular external fixation device. Methods: A total of 28 patients suffering from disintegrated pelvic ring injury are involved in the study. Fourteen patients (the treatment group) underwent step-by-step external pelvic fixation by applying anterior (anti-shock) and posterior modules. For the rest 14 patients (the experimental group), the osteosynthesis were conducted by means of a circular external fixation device. The long-term outcomes were evaluated in a year after the injury. Results: The residual deformity of 5 (4–7) mm was observed in 10 patients (71.4%) from the experimental group. In the treatment group, the residual deformity was evident only in 4 (28.6%) cases being 2.5 (2–3) mm (P = 0.000319) on the average. The functional result (according to the Majeed scale) was statistically better in the treatment group (P = 0.000319). Nine (64.3%) and five (35.7%) patients in treatment group showed excellent and positive results, respectively. The excellent result was demonstrated by 3 patients (21.4%) of the experimental group, the positive outcomes were observed in 6 cases (42.9%) and the unsatisfactory one was displayed by 1 patient (7.1%) of the same group. Conclusions: The modular approach applied is the advantage of the transosseous osteosynthesis allowing for a separate anterior (anti-shock) fixation and final posterior reposition of the pelvic ring preceded by the stabilization of vital functions. The above mentioned method gives an opportunity to increase the amount of techniques applied for the pelvic external fixation in polytrauma cases. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Asian Pacific Journal of Tropical Biomedicine 6 2 164 172 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Unstable pelvic injuries External fixation Separate step-by-step reposition Traumatology Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 |
spellingShingle |
Unstable pelvic injuries External fixation Separate step-by-step reposition Traumatology Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 Ivan Viktorovich Borozda Nikolay Alexandrovich Ganzhurov Alexander Alexandrovich Kapustyansky Roman Valerievich Nikolaev Kirill Sergeevich Golokhvast Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules |
topic_facet |
Unstable pelvic injuries External fixation Separate step-by-step reposition Traumatology Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 |
description |
Objective: To evaluate the treatment outcomes of patients with pelvic ring injury by applying step-by-step external pelvic fixation and circular external fixation device. Methods: A total of 28 patients suffering from disintegrated pelvic ring injury are involved in the study. Fourteen patients (the treatment group) underwent step-by-step external pelvic fixation by applying anterior (anti-shock) and posterior modules. For the rest 14 patients (the experimental group), the osteosynthesis were conducted by means of a circular external fixation device. The long-term outcomes were evaluated in a year after the injury. Results: The residual deformity of 5 (4–7) mm was observed in 10 patients (71.4%) from the experimental group. In the treatment group, the residual deformity was evident only in 4 (28.6%) cases being 2.5 (2–3) mm (P = 0.000319) on the average. The functional result (according to the Majeed scale) was statistically better in the treatment group (P = 0.000319). Nine (64.3%) and five (35.7%) patients in treatment group showed excellent and positive results, respectively. The excellent result was demonstrated by 3 patients (21.4%) of the experimental group, the positive outcomes were observed in 6 cases (42.9%) and the unsatisfactory one was displayed by 1 patient (7.1%) of the same group. Conclusions: The modular approach applied is the advantage of the transosseous osteosynthesis allowing for a separate anterior (anti-shock) fixation and final posterior reposition of the pelvic ring preceded by the stabilization of vital functions. The above mentioned method gives an opportunity to increase the amount of techniques applied for the pelvic external fixation in polytrauma cases. |
format |
Article in Journal/Newspaper |
author |
Ivan Viktorovich Borozda Nikolay Alexandrovich Ganzhurov Alexander Alexandrovich Kapustyansky Roman Valerievich Nikolaev Kirill Sergeevich Golokhvast |
author_facet |
Ivan Viktorovich Borozda Nikolay Alexandrovich Ganzhurov Alexander Alexandrovich Kapustyansky Roman Valerievich Nikolaev Kirill Sergeevich Golokhvast |
author_sort |
Ivan Viktorovich Borozda |
title |
Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules |
title_short |
Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules |
title_full |
Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules |
title_fullStr |
Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules |
title_full_unstemmed |
Step-by-step external fixation of unstable pelvis with separate anterior and posterior modules |
title_sort |
step-by-step external fixation of unstable pelvis with separate anterior and posterior modules |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2016 |
url |
https://doi.org/10.1016/j.apjtb.2015.11.002 https://doaj.org/article/013771a1a1e8493295db9b7b5dd9a9ae |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Asian Pacific Journal of Tropical Biomedicine, Vol 6, Iss 2, Pp 164-172 (2016) |
op_relation |
http://www.sciencedirect.com/science/article/pii/S2221169115002610 https://doaj.org/toc/2221-1691 2221-1691 doi:10.1016/j.apjtb.2015.11.002 https://doaj.org/article/013771a1a1e8493295db9b7b5dd9a9ae |
op_doi |
https://doi.org/10.1016/j.apjtb.2015.11.002 |
container_title |
Asian Pacific Journal of Tropical Biomedicine |
container_volume |
6 |
container_issue |
2 |
container_start_page |
164 |
op_container_end_page |
172 |
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1766343926488236032 |