Byung-Woo Min; Kyung-Jae Lee; Gyo-Wook Kim; Doohyun Kwon

doi:10.12671/jkfs.2013.26.4.348

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Complications of Pelvic Ring Injury: Byung-Woo Min, M.D., Kyung-Jae Lee, M.D., Gyo-Wook Kim, M.D., Doohyun Kwon, M.D.; Journal of the Korean Fracture Society 2013;26(4):348-353.
DOI: https://doi.org/10.12671/jkfs.2013.26.4.348
Published online: October 18, 2013

Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea.

Address reprint requests to: Byung-Woo Min, M.D. Department of Orthopedic Surgery, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7267, Fax: 82-53-250-7205, min@dsmc.or.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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REFERENCES

REFERENCES

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2. Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma, 1990;30:848-856.
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5. Griffin DR, Starr AJ, Reinert CM, Jones AL, Whitlock S. Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure? J Orthop Trauma, 2003;17:399-405.
6. Grotz MR, Allami MK, Harwood P, Pape HC, Krettek C, Giannoudis PV. Open pelvic fractures: epidemiology, current concepts of management and outcome. Injury, 2005;36:1-13.
7. Hak DJ, Olson SA, Matta JM. Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavallée lesion. J Trauma, 1997;42:1046-1051.
8. Kellam JF, McMurtry RY, Paley D, Tile M. The unstable pelvic fracture. Operative treatment. Orthop Clin North Am, 1987;18:25-41.
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Fig. 1

(A) A 79-year-old male patient with Tile type C1 unstable pelvic fractures which were determined as left crescent fracture, sacroiliac joint disruption and symphysis pubis diastasis on 3-dimensional computed tomographys.

(B) Embolization with gelfoam and microcoil about the inferior epigastric artery (arrow).

Fig. 2

(A, B) A 28-year-old male patient with Tile type C1 unstable pelvic fractures which were determined as right crescent fracture including the ipsilateral superior and inferior rami on X-ray and 3-dimensional computed tomography.

(C) Conservative therapy with skeletal traction about 2 months due to liver injury.

(D) Osteotomy and multiple plate fixation about the malunion site of the ilium and ramus. Postoperative X-ray shows stable fixation but the right hemipelvis was rotated internally and migrated about 1 cm upward.

Fig. 3

(A, B) A 39-year-old female patient with Tile type C3 unstable pelvic fracture with left sacral fracture, which were both superior and inferior rami fractures on X-ray and 3-dimensional computed tomographys.

(C) Delayed operation due to problems with the patient's general condition. postoperative x-ray shows plate fixation on the left ramus, posterior sacral fracture.

(D) At 1 year, the left ramus and posterior sacral fracture site were nonunion and metal breakage on follow X-ray.

Table 1

Associated Complications of Pelvic Ring Fracture

Figure & Data

REFERENCES

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Simultaneous Surgery on Jejunum perforation with Pelvic Ring Fracture: A Case Report
HoeJeong Chung, Keum-Seok Bae, Seong-yup Kim, Doosup Kim
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Complications of Pelvic Ring Injury

J Korean Fract Soc. 2013;26(4):348-353. Published online October 31, 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.4.348

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Complications of Pelvic Ring Injury

Fig. 1 (A) A 79-year-old male patient with Tile type C1 unstable pelvic fractures which were determined as left crescent fracture, sacroiliac joint disruption and symphysis pubis diastasis on 3-dimensional computed tomographys. (B) Embolization with gelfoam and microcoil about the inferior epigastric artery (arrow).

Fig. 2 (A, B) A 28-year-old male patient with Tile type C1 unstable pelvic fractures which were determined as right crescent fracture including the ipsilateral superior and inferior rami on X-ray and 3-dimensional computed tomography. (C) Conservative therapy with skeletal traction about 2 months due to liver injury. (D) Osteotomy and multiple plate fixation about the malunion site of the ilium and ramus. Postoperative X-ray shows stable fixation but the right hemipelvis was rotated internally and migrated about 1 cm upward.

Fig. 3 (A, B) A 39-year-old female patient with Tile type C3 unstable pelvic fracture with left sacral fracture, which were both superior and inferior rami fractures on X-ray and 3-dimensional computed tomographys. (C) Delayed operation due to problems with the patient's general condition. postoperative x-ray shows plate fixation on the left ramus, posterior sacral fracture. (D) At 1 year, the left ramus and posterior sacral fracture site were nonunion and metal breakage on follow X-ray.

Fig. 1

Fig. 2

Fig. 3

Complications of Pelvic Ring Injury

Table 1

Associated Complications of Pelvic Ring Fracture

Table 1 Associated Complications of Pelvic Ring Fracture