title: [Minimal invasive surgery of pelvic fractures sustained in earthquake through an incision near the rectus abdominis muscle].
abstract: OBJECTIVE
  To assess the effects of minimal invasive surgery through an incision near the rectus abdominis muscle for treatment of pelvic fractures sustained in earthquake.
  
  
  METHODS
  Nine patients with pelvic fractures during Ludian earthquake (August 3, 2014) were treated with minimal invasive surgery through an incision near the rectus abdominis muscle followed by anterior ring fixation and reconstruction plate or posterior ring fixation with percutaneous sacroiliac lag screws. The operative time, incision length, blood loss volume, and pre- and postoperative pain levels were recorded. The surgical complications such as lateral femoral cutaneous nerve injury and hip adduction incapability were observed.
  
  
  RESULTS
  The minimal invasive surgery achieved satisfactory clinical effects and allowed convenient operation with better surgical exposure, shorter operative time, less blood loss and pain. The patients showed excellent fracture reduction and stable internal fixation without lateral femoral cutaneous nerve injury or hip adduction incapability.
  
  
  CONCLUSIONS
  The minimal invasive surgery through an incision near the rectus abdominis muscle is suitable for treatment of pelvic fractures with anteriorly interior fixation, especially in rescuing victims in the event of an earthquake where blood supply can be very limited.
authors.affiliation: Department of Orthopedics, Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China.E-mail: kara802@163.com.
authors.forename: Canjun
authors.initials: C
authors.lastname: Zeng
authors.forename: Hui
authors.initials: H
authors.lastname: Zhang
authors.forename: Tianbing
authors.initials: T
authors.lastname: Wang
authors.forename: Minghe
authors.initials: M
authors.lastname: Qin
authors.forename: Lei
authors.initials: L
authors.lastname: Wang
authors.forename: Dadi
authors.initials: D
authors.lastname: Jin
authors.forename: Wenhua
authors.initials: W
authors.lastname: Huang
mesh_terms: D016063:Blood Loss, Surgical; D001860:Bone Plates; D004190:Disasters; D055866:Earthquakes; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D010149:Postoperative Pain; D010384:Pelvic Bones / Q000473:pathology*; D019651:Plastic Surgery Procedures; D017568:Rectus Abdominis / Q000601:surgery*