International Orthopaedics (SICOT) (2017) 41:1777–1784 DOI 10.1007/s00264-017-3549-4 ORIGINAL PAPER Late reconstruction of severe open-book deformities of the pelvis — tips and tricks 1 2 3 4 Christian Fang & Hatem Alabdulrahman & Roman Pfeifer & Ivan S. Tarkin & Hans-Christoph Pape Received: 16 December 2016 /Accepted: 14 June 2017 /Published online: 5 July 2017 SICOT aisbl 2017 Abstract quality of life regarding pain, ambulation, social function, Background The primary goal of treatment for open book continence control and presence of prolapse is proposed. pelvic injuries after high-energy trauma is to control haemor- Results One elderly patient had early mortality after surgery. rhage and to close the pelvic ring anatomically. Less common- The other four patients had quality of life improvement by 3 to ly, patients may present late with malunion or non-union. 5 points after one year. Correction is often clinically successful Methods We reviewed five operatively treated patients with despite technical challenges and unpredictable radiological delayed severe open book deformities who had a diastasis of results. more than 6 cm. We describe the pre-operative workup, sur- Conclusion External fixator and the C-clamp are good reduc- gical strategy and challenges experienced. They specifically tion tools. Powerful implants should be
International Orthopaedics – Springer Journals
Published: Jul 5, 2017
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