Pin placement in pelvic external fixation.

Early external fixation of major pelvic fractures reduces haemorrhage and mortality. The best site and method for pin placement remains unresolved. The superior iliac crest is biomechanically disadvantageous and hinders access to the abdomen. Low pin placement between the anterior iliac spines has b...

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Main Authors: Noordeen, M, Taylor, B, Briggs, T, Lavy, C
Format: Journal article
Language:English
Published: 1993
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author Noordeen, M
Taylor, B
Briggs, T
Lavy, C
author_facet Noordeen, M
Taylor, B
Briggs, T
Lavy, C
author_sort Noordeen, M
collection OXFORD
description Early external fixation of major pelvic fractures reduces haemorrhage and mortality. The best site and method for pin placement remains unresolved. The superior iliac crest is biomechanically disadvantageous and hinders access to the abdomen. Low pin placement between the anterior iliac spines has been proposed as a better solution. A case-controlled study was performed on cadavers using a jig designed to place external fixator pins accurately in the pelvis; the study tested the safety of pin placement and the mechanical strength of the two placement sites. The results showed that pins could be placed safely using this method and that low placement in cadaveric bone is as strong as that of the conventional placement.
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spelling oxford-uuid:e0a6164b-dfc4-46c3-8809-72d37722df382022-03-27T09:48:46ZPin placement in pelvic external fixation.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e0a6164b-dfc4-46c3-8809-72d37722df38EnglishSymplectic Elements at Oxford1993Noordeen, MTaylor, BBriggs, TLavy, CEarly external fixation of major pelvic fractures reduces haemorrhage and mortality. The best site and method for pin placement remains unresolved. The superior iliac crest is biomechanically disadvantageous and hinders access to the abdomen. Low pin placement between the anterior iliac spines has been proposed as a better solution. A case-controlled study was performed on cadavers using a jig designed to place external fixator pins accurately in the pelvis; the study tested the safety of pin placement and the mechanical strength of the two placement sites. The results showed that pins could be placed safely using this method and that low placement in cadaveric bone is as strong as that of the conventional placement.
spellingShingle Noordeen, M
Taylor, B
Briggs, T
Lavy, C
Pin placement in pelvic external fixation.
title Pin placement in pelvic external fixation.
title_full Pin placement in pelvic external fixation.
title_fullStr Pin placement in pelvic external fixation.
title_full_unstemmed Pin placement in pelvic external fixation.
title_short Pin placement in pelvic external fixation.
title_sort pin placement in pelvic external fixation
work_keys_str_mv AT noordeenm pinplacementinpelvicexternalfixation
AT taylorb pinplacementinpelvicexternalfixation
AT briggst pinplacementinpelvicexternalfixation
AT lavyc pinplacementinpelvicexternalfixation