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. 2017 Aug 9;14(4):530-536.
doi: 10.1016/j.jor.2017.08.004. eCollection 2017 Dec.

Management of the open book APC II pelvis: Survey results from pelvic and acetabular surgeons in the United Kingdom

James R Gill  1 , Colin Murphy  1 , Ben Quansah  1 , Andrew Carrothers  1
Affiliations

Management of the open book APC II pelvis: Survey results from pelvic and acetabular surgeons in the United Kingdom

James R Gill et al. J Orthop. .

Abstract

The results of this questionnaire show that the opinion of pelvic and acetabular surgeons in the UK and Republic of Ireland vary as to the best method of fixation for APC II pelvic injuries. A single anterior plate and single sacroiliac joint (SIJ) screw was the most popular fixation method, chosen by 34%. 74% favour a single, opposed to two orthogonal anterior plates. Posterior fixation supplementing anterior plating is preferred by 63% of surgeons, 58% use a single versus 42% two SIJ screws. Case by case assessment and intraoperative screening to assess stability is essential when considering whether to stabilise the SIJ.

Keywords: APC II; Anterior plating; Open book pelvis; Orthogonal double plating; Pubic symphysis diastasis; Sacroiliac joint screw; Symphyseal plating; Tile B1.

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Figures

Fig. 1
Fig. 1
Diagram of OTA 61-B open book pelvis: Incomplete disruption of posterior arch, partially stable.
Fig. 2
Fig. 2
AP radiograph of APC II, Tile B1, AO/OTA 61-B open book pelvis injury.
Graph 1
Graph 1
Responses to question 1. Number of pelvic injuries treated per year by each survey respondent.
Graph 2
Graph 2
Responses to question 2. Preferred operative management for the described injury.
Graph 3
Graph 3
Responses to question 5. Weight bearing status on the affected side immediately post-operatively.
Graph 4
Graph 4
Responses to question 6. Time frame until full weight bearing status allowed on the affected side?.
See this image and copyright information in PMC

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