title: Anterior pre-tensioned external fixator for pelvic fractures and dislocations. Initial clinical series.
abstract: In the treatment of unstable pelvic ring fractures, external fixators have the limitation of not adequately stabilizing the injured posterior elements. This article presents a novel and simple technique of temporary external fixation of the pelvic ring, able to produce compression of both the anterior and posterior pelvic elements. A curved flexible carbon-fiber rod is used, pre-tensioned before attachment to supra-acetabular Schanz screws. Although more extensive clinical experience is required, favorable preliminary results in a series of 13 patients with unstable pelvic fracture were encouraging: the aim of closing the posterior and anterior elements of the pelvic ring was achieved in all cases treated with this technique, and 12 patients survived. Radiological results were excellent in 3 cases and good in 9 cases. No major complications, such as secondary displacement, vertical re-displacement or deep infection, were observed. Mean operative time was 25min, compatible with emergency management.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología (4th Floor), Hospital Universitario Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Spain. Electronic address: aqueipot@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Queipo-de-Llano
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología (4th Floor), Hospital Universitario Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Spain. Electronic address: lombardotorre.m@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Lombardo-Torre
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología (4th Floor), Hospital Universitario Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Spain. Electronic address: antonioleiva7@yahoo.es.
authors.forename: A
authors.initials: A
authors.lastname: Leiva-Gea
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología (4th Floor), Hospital Universitario Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Spain. Electronic address: borjadelgado@telefonica.net.
authors.forename: F B
authors.initials: FB
authors.lastname: Delgado-Rufino
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología (4th Floor), Hospital Universitario Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Spain. Electronic address: flunagon@gmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Luna-González
mesh_terms: D000077:Acetabulum / Q000601:surgery; D000328:Adult; D000368:Aged; D001863:Bone Screws; D016267:External Fixators; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D011859:Radiography
keywords: External fixation; Pelvic compression; Pelvis fracture; Pre-tensed bar; Urgent stabilization