Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis

We report on the treatment of a neglected displaced vertical shear pelvic fracture with functional impairment 6 months after injury in a 74-year-old woman with underlying osteoporosis. She was managed with open reduction and internal fixation and grafting of her left SI joint, while the ipsilateral...

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Main Authors: Georgios Kotsarinis, Oceane Mauffrey, Sophia M. Wakefield, Peter V. Giannoudis
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644023001796
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author Georgios Kotsarinis
Oceane Mauffrey
Sophia M. Wakefield
Peter V. Giannoudis
author_facet Georgios Kotsarinis
Oceane Mauffrey
Sophia M. Wakefield
Peter V. Giannoudis
author_sort Georgios Kotsarinis
collection DOAJ
description We report on the treatment of a neglected displaced vertical shear pelvic fracture with functional impairment 6 months after injury in a 74-year-old woman with underlying osteoporosis. She was managed with open reduction and internal fixation and grafting of her left SI joint, while the ipsilateral pubic rami fractures were treated conservatively. She achieved union and pain free weight bearing 6 months postoperatively. Appropriate evaluation of the pathology and selection of the appropriate treatment in this elderly patient cohort is essential for a successful outcome. Experienced surgical team and individualized treatment approach are also vital to optimize the result of treatment.
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spelling doaj.art-9eeb8964505943f69d79ae242ba041012023-12-04T05:23:14ZengElsevierTrauma Case Reports2352-64402023-12-0148100932Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesisGeorgios Kotsarinis0Oceane Mauffrey1Sophia M. Wakefield2Peter V. Giannoudis3Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds, United KingdomSchool of Medicine, University of North Carolina, NC, USAAcademic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds, United KingdomAcademic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds, United Kingdom; NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, United Kingdom; Corresponding author at: Academic Department of Trauma & Orthopaedic Surgery, School of Medicine, University of Leeds, Clarendon Wing, Floor D, Great George Street, Leeds General Infirmary, LS1 3EX Leeds, United Kingdom.We report on the treatment of a neglected displaced vertical shear pelvic fracture with functional impairment 6 months after injury in a 74-year-old woman with underlying osteoporosis. She was managed with open reduction and internal fixation and grafting of her left SI joint, while the ipsilateral pubic rami fractures were treated conservatively. She achieved union and pain free weight bearing 6 months postoperatively. Appropriate evaluation of the pathology and selection of the appropriate treatment in this elderly patient cohort is essential for a successful outcome. Experienced surgical team and individualized treatment approach are also vital to optimize the result of treatment.http://www.sciencedirect.com/science/article/pii/S2352644023001796Neglected pelvic fracturePelvic malunionPelvic non-unionNeglected malunion
spellingShingle Georgios Kotsarinis
Oceane Mauffrey
Sophia M. Wakefield
Peter V. Giannoudis
Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis
Trauma Case Reports
Neglected pelvic fracture
Pelvic malunion
Pelvic non-union
Neglected malunion
title Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis
title_full Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis
title_fullStr Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis
title_full_unstemmed Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis
title_short Neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis
title_sort neglected pelvic fragility fracture managed with unilateral triangular osteosynthesis
topic Neglected pelvic fracture
Pelvic malunion
Pelvic non-union
Neglected malunion
url http://www.sciencedirect.com/science/article/pii/S2352644023001796
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