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The first use of laparoscopy to treat pelvic ring fractures: A case report

INTRODUCTION: Pelvic ring injuries pose major challenges for the trauma surgeon. Given the complications of open surgeries, percutaneous techniques have become increasingly popular, but laparoscopy has never been employed for internal osteosynthesis of the pelvic ring. PRESENTATION OF CASE: We descr...

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Detalles Bibliográficos
Autores principales: Di Francia, Rémi, Tanner, Jean-Loup, Marolleau, Julien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530218/
https://www.ncbi.nlm.nih.gov/pubmed/33011656
http://dx.doi.org/10.1016/j.ijscr.2020.09.162
Descripción
Sumario:INTRODUCTION: Pelvic ring injuries pose major challenges for the trauma surgeon. Given the complications of open surgeries, percutaneous techniques have become increasingly popular, but laparoscopy has never been employed for internal osteosynthesis of the pelvic ring. PRESENTATION OF CASE: We describe a 34-year-old male with a pelvic ring fracture (grade AO/OTA 61B2.1b). The anterior pelvic arch was successfully plate-fixed using a laparoscopic technique. This is the first report of such an approach to treat pelvic ring fractures. DISCUSSION: Our principal point is that “laparoscopic internal fixation” delivered an in situ result as good as that of open surgery, but we required only four trocar portals. CONCLUSION: We describe a novel laparoscopic approach to treatment of pelvic ring fractures.