Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes
Straddle fracture, a superior and inferior ramus fracture of both sides, is generally treated conservatively. However, posterior pelvic ring injury is often associated with straddle fracture, leading to unstable pelvic bone fracture that requires surgical treatment. The present study reports the cli...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S101595842030097X |
| _version_ | 1818669506874048512 |
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| author | Yong-Cheol Yoon Dae Sung Ma Seung Kwan Lee Jong-Keon Oh Hyung Keun Song |
| author_facet | Yong-Cheol Yoon Dae Sung Ma Seung Kwan Lee Jong-Keon Oh Hyung Keun Song |
| author_sort | Yong-Cheol Yoon |
| collection | DOAJ |
| description | Straddle fracture, a superior and inferior ramus fracture of both sides, is generally treated conservatively. However, posterior pelvic ring injury is often associated with straddle fracture, leading to unstable pelvic bone fracture that requires surgical treatment. The present study reports the clinical and radiological outcomes of straddle fracture with posterior pelvic ring injury.This study included 73 patients (41 men, 32 women) with a straddle fracture injury. The injury mechanism, injury severity score (ISS), accompanying injuries, presence of posterior pelvic ring injury, and fixation methods for the pelvic fracture were analyzed, and outcomes were evaluated functionally and radiologically.Of the 73 patients, 56 (77%) had a posterior pelvic ring injury and 7 died. In 43 patients, the posterior pelvic ring injuries constituted unstable pelvic injury and were treated surgically. The fixation method was determined based on the severity of the posterior pelvic injury. The patients’ mean ISS was 24.7 points. Radiological evaluation of surgical outcomes in 43 patients revealed the outcomes as anatomic in 20, nearly anatomic in 14, moderate in 5, and poor in 4, whereas functional evaluation revealed the outcomes as excellent in 21, good in 9, fair in 7, and poor in 6.Posterior pelvic ring fracture can accompany straddle fractures, which may lead to pelvic injury instability. Thus, special attention is required for patients with a straddle fracture. |
| first_indexed | 2024-12-17T06:53:18Z |
| format | Article |
| id | doaj.art-61a02c39dc234a04ae0024240d2c5275 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-17T06:53:18Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-61a02c39dc234a04ae0024240d2c52752022-12-21T21:59:31ZengElsevierAsian Journal of Surgery1015-95842021-01-014415965Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomesYong-Cheol Yoon0Dae Sung Ma1Seung Kwan Lee2Jong-Keon Oh3Hyung Keun Song4Orthopedic Trauma Division, Trauma Center, Gachon University College of Medicine, Namdong-gu, Incheon, Republic of KoreaTrauma Center, Department of Thoracic & Cardiovascular Surgery, Dankook University Hospital. Dongnam-gu, Cheonan, Chung Nam, Republic of KoreaDepartment of Orthopaedic Surgery, Gachon University College of Medicine, Namdong-gu, Incheon, Republic of KoreaDepartment of Orthopaedic Surgery, Korea University College of Medicine, Guro Hospital, Gurodong-gil, Guro-gu, Seoul, Republic of KoreaDepartment of Orthopaedic Surgery, Ajou University School of Medicine, Yeongtong-gu, Suwon-si, Gyeonggi-do, Republic of Korea; Corresponding author. Department of Orthopedic Surgery, Ajou University School of Medicine, (16499) 164 World Cup-ro, Yongtong-gu, Suwon, Republic of Korea.Straddle fracture, a superior and inferior ramus fracture of both sides, is generally treated conservatively. However, posterior pelvic ring injury is often associated with straddle fracture, leading to unstable pelvic bone fracture that requires surgical treatment. The present study reports the clinical and radiological outcomes of straddle fracture with posterior pelvic ring injury.This study included 73 patients (41 men, 32 women) with a straddle fracture injury. The injury mechanism, injury severity score (ISS), accompanying injuries, presence of posterior pelvic ring injury, and fixation methods for the pelvic fracture were analyzed, and outcomes were evaluated functionally and radiologically.Of the 73 patients, 56 (77%) had a posterior pelvic ring injury and 7 died. In 43 patients, the posterior pelvic ring injuries constituted unstable pelvic injury and were treated surgically. The fixation method was determined based on the severity of the posterior pelvic injury. The patients’ mean ISS was 24.7 points. Radiological evaluation of surgical outcomes in 43 patients revealed the outcomes as anatomic in 20, nearly anatomic in 14, moderate in 5, and poor in 4, whereas functional evaluation revealed the outcomes as excellent in 21, good in 9, fair in 7, and poor in 6.Posterior pelvic ring fracture can accompany straddle fractures, which may lead to pelvic injury instability. Thus, special attention is required for patients with a straddle fracture.http://www.sciencedirect.com/science/article/pii/S101595842030097XPosterior pelvic ring injuryStable fixationStraddle fracture |
| spellingShingle | Yong-Cheol Yoon Dae Sung Ma Seung Kwan Lee Jong-Keon Oh Hyung Keun Song Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes Asian Journal of Surgery Posterior pelvic ring injury Stable fixation Straddle fracture |
| title | Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes |
| title_full | Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes |
| title_fullStr | Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes |
| title_full_unstemmed | Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes |
| title_short | Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes |
| title_sort | posterior pelvic ring injury of straddle fractures incidence fixation methods and clinical outcomes |
| topic | Posterior pelvic ring injury Stable fixation Straddle fracture |
| url | http://www.sciencedirect.com/science/article/pii/S101595842030097X |
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