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Review
. 2020 Nov-Dec;11(6):1009-1015.
doi: 10.1016/j.jcot.2020.10.004. Epub 2020 Oct 10.

Assessment of instability in type B pelvic ring fractures

Ishvinder Singh Grewal  1 , Hasan R Mir  1
Affiliations
Review

Assessment of instability in type B pelvic ring fractures

Ishvinder Singh Grewal et al. J Clin Orthop Trauma. 2020 Nov-Dec.

Erratum in

Abstract

Pelvic ring fractures have increased in incidence and operative fixation over the past several decades. These are dynamic injuries but decisions on operative management are still often made on the basis of static imaging. Expert opinion varies greatly on which injuries require fixation and how much fixation. Examination under anaesthesia has been shown to guide management of pelvic injuries by more accurately assessing levels of instability.

Keywords: Fracture; Instability; Osteosynthesis; Pelvis; Trauma.

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Figures

Fig. 1
Fig. 1
Case courtesy of Dr Matt Skalski, Radiopaedia.org, rID: 37824.
Fig. 2
Fig. 2
Reproduced from fracture and dislocation classification compendium - 2018, J Orthop trauma • Volume 32, number 1 Supplement, January 2018.
Fig. 3
Fig. 3
AP Pelvis of APC Pelvic injury.
Fig. 4
Fig. 4
AP pelvis with internal (left) and external (right) rotation stress applied.
Fig. 5
Fig. 5
AP, inlet and outlet view of bilateral posterior and anterior stabilised pelvis.
Fig. 6
Fig. 6
AP Pelvis at 6 month follow up.
Fig. 7
Fig. 7
Reproduced with permission from ‘Avilucea FR, Archdeacon MT, Collinge CA, Sciadini M, Sagi HC, Mir HR. Fixation Strategy Using Sequential Intraoperative Examination Under Anaesthesia for Unstable Lateral Compression Pelvic Ring Injuries Reliably Predicts Union with Minimal Displacement. J Bone Joint Surg Am. 2018; 100(17):1503–1508. https://doi.org/10.2106/JBJS.17.01650’.
Fig. 8
Fig. 8
AP Pelvis LC1 type fracture.
Fig. 9
Fig. 9
AP Pelvis with application of external (left image) and internal rotation stress (right image).
Fig. 10
Fig. 10
AP Pelvis following posterior fixation with application of internal rotation stress (right image).
Fig. 11
Fig. 11
AP Pelvis resting (left image) and internal rotation stress (right image).
Fig. 12
Fig. 12
6 month follow up AP radiograph.
See this image and copyright information in PMC

References

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