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SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS

Objectives: To present the outcomes from definitive surgical treatment for unstable fractures of the pelvic ring in children undergoing surgical reduction and stabilization. Methods: We studied 10 patients with immature skeletons who suffered unstable fractures of the pelvic ring and were treated be...

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Autores principales: Guimarães, Joao Antonio Matheus, de Souza Portes Meirelles, Ricardo, Júnior, Luiz Augusto Peçanha Tavares, Goldsztajn, Flávio, Rocha, Tito, Mendes, Pedro Henrique Barros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799222/
https://www.ncbi.nlm.nih.gov/pubmed/27026968
http://dx.doi.org/10.1016/S2255-4971(15)30307-4
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author Guimarães, Joao Antonio Matheus
de Souza Portes Meirelles, Ricardo
Júnior, Luiz Augusto Peçanha Tavares
Goldsztajn, Flávio
Rocha, Tito
Mendes, Pedro Henrique Barros
author_facet Guimarães, Joao Antonio Matheus
de Souza Portes Meirelles, Ricardo
Júnior, Luiz Augusto Peçanha Tavares
Goldsztajn, Flávio
Rocha, Tito
Mendes, Pedro Henrique Barros
author_sort Guimarães, Joao Antonio Matheus
collection PubMed
description Objectives: To present the outcomes from definitive surgical treatment for unstable fractures of the pelvic ring in children undergoing surgical reduction and stabilization. Methods: We studied 10 patients with immature skeletons who suffered unstable fractures of the pelvic ring and were treated between March 2004 and January 2008. The study was retrospective, based on clinical and radiographic evaluations. Results: The mean age at the time of the trauma was 8.8 years (2 to 13 years). Seven patients were female and three was male. There were eight cases of trauma caused by being run over, and one case each of a motorcycle accident and falling from a height. Five patients had other associated injuries such as fractures of the clavicle, femoral diaphysis, proximal humerus, lower leg bones, olecranon and bladder injury. All the patients evaluated showed an excellent clinical outcome. The pelvic asymmetry before surgery ranged from 0.7 to 2.9 cm (mean 1.45 cm), and dropped to values between 0.2 and 0.9 cm (mean 0.39 cm) after reduction. In no case was any change observed in pelvic asymmetry measured in the immediate postoperative period and at the end of follow-up. Conclusion: Pelvic ring fractures in skeletally immature patients are rare and surgical treatment is unusual. Several authors have questioned conservative treatment because of the complications encountered. Bone remodeling does not seem enough to cause an improvement in pelvic asymmetry, and this justifies the choice of surgical treatment for reduction and correction of pelvic ring deformities.
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spelling pubmed-47992222016-03-29 SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS Guimarães, Joao Antonio Matheus de Souza Portes Meirelles, Ricardo Júnior, Luiz Augusto Peçanha Tavares Goldsztajn, Flávio Rocha, Tito Mendes, Pedro Henrique Barros Rev Bras Ortop Original Article Objectives: To present the outcomes from definitive surgical treatment for unstable fractures of the pelvic ring in children undergoing surgical reduction and stabilization. Methods: We studied 10 patients with immature skeletons who suffered unstable fractures of the pelvic ring and were treated between March 2004 and January 2008. The study was retrospective, based on clinical and radiographic evaluations. Results: The mean age at the time of the trauma was 8.8 years (2 to 13 years). Seven patients were female and three was male. There were eight cases of trauma caused by being run over, and one case each of a motorcycle accident and falling from a height. Five patients had other associated injuries such as fractures of the clavicle, femoral diaphysis, proximal humerus, lower leg bones, olecranon and bladder injury. All the patients evaluated showed an excellent clinical outcome. The pelvic asymmetry before surgery ranged from 0.7 to 2.9 cm (mean 1.45 cm), and dropped to values between 0.2 and 0.9 cm (mean 0.39 cm) after reduction. In no case was any change observed in pelvic asymmetry measured in the immediate postoperative period and at the end of follow-up. Conclusion: Pelvic ring fractures in skeletally immature patients are rare and surgical treatment is unusual. Several authors have questioned conservative treatment because of the complications encountered. Bone remodeling does not seem enough to cause an improvement in pelvic asymmetry, and this justifies the choice of surgical treatment for reduction and correction of pelvic ring deformities. Elsevier 2015-11-16 /pmc/articles/PMC4799222/ /pubmed/27026968 http://dx.doi.org/10.1016/S2255-4971(15)30307-4 Text en © 2010 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Guimarães, Joao Antonio Matheus
de Souza Portes Meirelles, Ricardo
Júnior, Luiz Augusto Peçanha Tavares
Goldsztajn, Flávio
Rocha, Tito
Mendes, Pedro Henrique Barros
SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS
title SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS
title_full SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS
title_fullStr SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS
title_full_unstemmed SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS
title_short SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS
title_sort surgical treatment of unstable pelvic ring fracture in skeletally immature patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799222/
https://www.ncbi.nlm.nih.gov/pubmed/27026968
http://dx.doi.org/10.1016/S2255-4971(15)30307-4
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