title: Percutaneous pelvic fixation using working portals in a circumferential pelvic antishock sheet.
abstract: Unstable pelvic ring injuries are associated with an increased mortality rate, most commonly from severe hemorrhage. Circumferential pelvic antishock sheeting has proven effective for rapidly stabilizing the pelvic ring and has become an integral part of resuscitation protocols. Acute antishock sheet placement frequently results in patient hemodynamic stabilization and an accurate pelvic reduction. In these situations, we describe a technique of maintaining the pelvic sheet position for continued use as a reduction aid and using working portals to insert definitive percutaneous pelvic implants.
authors.affiliation: Department of Orthopaedic Surgery, Washington University School of Medicine, 660 S Euclid Avenue, Campus Box 8233, St Louis, MO 63110, USA. gardnerm@wudosis.wustl.edu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Gardner
authors.forename: Greg
authors.initials: G
authors.lastname: Osgood
authors.forename: Robert
authors.initials: R
authors.lastname: Molnar
authors.forename: Milton L
authors.initials: ML
authors.lastname: Chip Routt
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D016267:External Fixators / Q000009:adverse effects; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D009049:Motorcycles; D009104:Multiple Trauma; D010384:Pelvic Bones / Q000293:injuries*; D010388:Pelvis / Q000293:injuries* / Q000601:surgery; D012149:Restraint, Physical; D012151:Resuscitation / Q000379:methods*; D012771:Shock, Hemorrhagic / Q000517:prevention & control; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000628:therapy