International Orthopaedics (SICOT) (2017) 41:1791–1801 DOI 10.1007/s00264-017-3475-5 ORIGINAL PAPER Surgical considerations with the operative fixation of unstable paediatric pelvic ring injuries Mohamed Kenawey Received: 27 October 2016 /Accepted: 23 March 2017 /Published online: 13 April 2017 SICOT aisbl 2017 Abstract commonly a pubic apophysis avulsion. IS screws might be Introduction The operative treatment of unstable pelvic inju- inserted through plates to prevent piercing the soft iliac wing. ries in paediatrics is not frequently indicated. The detailed Retrograde LC screws should be avoided in young children. modes of pelvic ring failure, surgical techniques, fixation . . choices, and peri-operative difficulties are not well reported. Keywords Iliac apophysis avulsion Iliosacral screws Methods From September 2010 to March 2016, 62 paediatric Lateral compression screws Paediatric pelvic injuries patients were admitted to an academic level I trauma center with the diagnosis of pelvic ring injury. Of them, 29 (17 males and 12 females) had operative fixation of unstable pelvic in- Introduction juries. Their average age was 11.7 ± 4.4 years. Results There were six Tile’s B injuries and 23 type C injuries. Paediatric pelvic fractures are rarely encountered and the The commonest modes of pelvic ring failure were pubic rami mainstay treatment was
International Orthopaedics – Springer Journals
Published: Apr 13, 2017
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