Journal of Medical Research and Surgery PROVIDES A UNIQUE PLATFORM TO PUBLISH ORIGINAL RESEARCH AND REMODEL THE KNOWLEDGE IN THE AREA OF MEDICAL AND SURGERY

Management of Complex Pelvic Fractures Associated With Acetabulum Injury: Case Series

Indexed Articles

Select your language of interest to view the total content in your interested language

PDF     Google Scholar     ResearchGate    
10.52916/jmrs244148

Hrishikesh S. Saodekar1, Amogh S. Bubna1, Yogesh Salphale2*, Ganesh N. Pundkar1, Rajendra W. Baitule1, Sanjeev V. Jaiswal1, Aman S. Rathod1
1Department of Orthopaeedics and Traumatology, Dr. P.D.M. Medical College, Shivaji Nagar, Amravati, Maharashtra, India.
2Consultant Trauma and Orthopaedic Surgeon, Shushrusha Hospital, Lane Opp. Z.P, Chandrapur Maharashtra, India.

Correspondence to: Yogesh Salphale, Consultant Trauma and Orthopaedic Surgeon, Shushrusha Hospital, Lane Opp. Z.P, Chandrapur Maharashtra, India.
Received date: September 7, 2024; Accepted date: September 21, 2024; Published date: September 28, 2024
Citation: Saodekar HS, et al. Management of Complex Pelvic Fractures Associated With Acetabulum Injury: Case Series. J Med Res Surg. 2024;5(5):110-115. doi: 10.52916/jmrs244148
Copyright: ©2024 Saodekar HS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Abstract

Comprehensive emergency management and early stabilization are pivotal in treating complex pelvic and acetabular fractures. Surgical treatment of displaced Pelvi-acetabular fractures has evolved from conservative to operative treatment. In the current study, we presented a series of thirty cases involving complex pelvic fractures as well as acetabular injuries, emphasizing the significance of comprehensive emergency management and appropriate intervention. As a result of the present case series, we highlight, the crucial role of a comprehensive operative plan that differentiates among patients based on their general condition, the available resources and the surgeon's preference. Central to our approach was the utilization of the Stoppa and Kocher-Langenbach techniques for internal fixation, demonstrating their efficacy in addressing these challenging fractures. The findings of the current series, reveal that, the functional outcome correlated well with the quality of reduction. Also, we recommended that the Stoppa and Kocher-Langenbach techniques be used as an effective treatment approach to address these complex fracture’s.

Keywords:

Pelvic fracture, Stoppa and Kocher-Langenbach techniques, Harris Hip Score (HHS), Reduction and internal fixation, Acetabulum injury.

References

  1. Masionis P, Vileikis T, Giedrius P, et al. Management of Complex Pelvic Ring and Acetabular Fracture Associated With Open Tibia Fracture in Severe Polytrauma Patient: A Case Report. Cureus. 2022;14(1):e21356.
  2. Abdelrahman H, El-Menyar A, Keil H, et al. Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study. J Orthop Surg Res. 2020;15(1):249.
  3. Kumar A, Shah NA, Kershaw SA, at al. Operative management of acetabular fractures. A review of 73 fractures. Injury. 2005;36(5):605-612.
  4. Judet R, Judet J, Letournel E. Fractures of the Acetabulum. Acta Orthop Belg. 1964;30:285-293.
  5. Stahel PF, Hammerberg EM. History of pelvic fracture management: a review. World J Emerg Surg. 2016;11:18.
  6. Kebaish AS, Roy A, Rennie W. Displaced acetabular fractures: long-term follow-up. J Trauma. 1991;31(11):1539.
  7. Fiolin J, Pontoh LA, Dilogo IS. Management of Complex Pelvic Fracture with Associated Both Column Acetabular Fracture Judet-Letournel Type and a Coccygeal Fracture in a Severe Polytrauma Patient. Case Rep Orthop Res. 2021;4(2):192–201.
  8. Dornseifer U, Ninković M. Timing of management of severe injuries of the lower extremity by free flap transfer. Bosn J Basic Med Sci. 2005;5(4):7-13.
  9. Wells M, Romeo N, Gatherwright J. Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap. JPRAS Open. 2021;30:84-90.
  10. Xue Z, Qin H, Ding H, et al. A Novel Approach for Treatment of Acetabular Fractures. Med Sci Monit. 2016;22:3680-3688.
  11. Suzuki T, Shindo M, Soma K, et al. Long- term functional outcome after unstable pelvic ring fracture. J Trauma. 2007;63(4):884-888.
  12. Hirvensalo E, Lindahl J, Kiljunen V. Modified and new approaches for pelvic and acetabular surgery. Injury. 2007;38(4):431-441.
  13. Sagi HC, Afsari A, Dziadosz D. The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures. J Orthop Trauma. 2010;24(5):263-270.
  14. Fakru NH, Faisham WI, Hadizie D, et al. Functional Outcome of Surgical Stabilisation of Acetabular Fractures. Malays Orthop J. 2021;15(2):129-135.
PDF     Google Scholar     ResearchGate    
10.52916/jmrs244148
Quick Links
ARTICLE STATISTICS
  • Submission to First Decision 19 Days
  • Acceptance Rate 60%
  • Acceptance to Publication 6-8 Days
  • *Average article statistics from the last 12 months data
Journal of Medical Research and Surgery, Bimonthly, ISSN 2582-9572, published by Respub Journals.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Attribution 4.0 International (CC BY 4.0). With this license readers can share, distribute, and download, even commercially, as long as the original source is properly cited.
This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals, in Scholarly Publishing.
This website: http://respubjournals.com/medical-research-surgery/ editorial contact: editor.jmrs@respubjournals.com
Address: #999, Sector-31, Gurugram, Haryana, India

Stay Always In Touch

Ⓒ Copyright 2022. All Rights Reserved by Respub Journals