Research progress on minimally invasive treatment of anterior pelvic ring fracture_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WU Jianchao , SHI Zhengwei , ZHOU Jianwei , PAN Yixin , LI Shaoping ,  WANG Yuliang

Department of Orthopedics, the Second Affiliated Hospital of Lanzhou University, Lanzhou Gansu, 730030, P.R.China;

Corresponding author：

WANG Yuliang, Email: wy160918@sina.com

Keywords：

Anterior pelvic ring fracture; minimally invasive; internal fixation; reduction

DOI：

10.7507/1002-1892.201907077

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the related research results of minimally invasive treatment of anterior pelvic ring fracture, and to improve the understanding of minimally invasive treatment of anterior pelvic ring fracture.Methods The literature of minimally invasive treatment of anterior pelvic ring fracture at domestic and overseas in recent years was reviewed, and the reduction and fixation methods of minimally invasive treatment were summarized and analyzed.Results The pelvic reduction frame may be an effective auxiliary method for minimally invasive reduction of pelvis. The fixation methods of anterior pelvic ring include percutaneous screw fixation, stent fixation, and percutaneous plate fixation.Conclusion One kind of fixation is not applicable to all types of anterior pelvic ring fracture, and the fixation method should be selected according to the type of fracture and the patient’s condition to minimize the complications.

Citation： WU Jianchao, SHI Zhengwei, ZHOU Jianwei, PAN Yixin, LI Shaoping, WANG Yuliang. Research progress on minimally invasive treatment of anterior pelvic ring fracture. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(4): 529-535. doi: 10.7507/1002-1892.201907077 Copy

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2.	陈家磊, 方跃, Walter M Chirume, 等. 前环皮下内置外固定架联合后环骶髂螺钉治疗不稳定骨盆骨折. 中国修复重建外科杂志, 2020, 34(1): 21-26.
3.	Vaidya R, Martin AJ, Roth M, et al. INFIX versus plating for pelvic fractures with disruption of the symphysis pubis. Int Orthop, 2017, 41(8): 1671-1678.
4.	刘敏, 周晓赛, 刘良乐, 等. 不同固定方法治疗 Tile C 型骨盆骨折的生物力学稳定性比较. 医用生物力学, 2018, 33(5): 423-428.
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6.	Yin Y, Luo J, Zhang R, et al. Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture. Sci Rep, 2019, 9(1): 2578.
7.	唐佩福, 王岩. 骨折手术学. 北京: 人民军医出版社, 2013: 709-714.
8.	Pennal GF, Tile M, Waddell JP, et al. Pelvic disruption: assessment and classification. Clin Orthop Relat Res, 1980, (151): 12-21.
9.	Young JW, Burgess AR, Brumback RJ, et al. Pelvic fractures: value of plain radiography in early assessment and management. Radiology, 1986, 160(2): 445-451.
10.	Doro CJ, Forward DP, Kim H, et al. Does 2.5 cm of symphyseal widening differentiate anteroposterior compression Ⅰ from anteroposterior compression Ⅱ pelvic ring injuries? J Orthop Trauma, 2010, 24(10): 610-615.
11.	水小龙, 曹生鲁, 冯永增, 等. 骨盆前后压缩Ⅱ型损伤相关韧带损伤机制的生物力学研究. 中华创伤骨科杂志, 2017, 19(5): 423-428.
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1. Hung CC, Wu JL, Li YT, et al. Minimally invasive treatment for anterior pelvic ring injuries with modified pedicle screw-rod fixation: a retrospective study. J Orthop Surg Res, 2018, 13(1): 238.
2. 陈家磊, 方跃, Walter M Chirume, 等. 前环皮下内置外固定架联合后环骶髂螺钉治疗不稳定骨盆骨折. 中国修复重建外科杂志, 2020, 34(1): 21-26.
3. Vaidya R, Martin AJ, Roth M, et al. INFIX versus plating for pelvic fractures with disruption of the symphysis pubis. Int Orthop, 2017, 41(8): 1671-1678.
4. 刘敏, 周晓赛, 刘良乐, 等. 不同固定方法治疗 Tile C 型骨盆骨折的生物力学稳定性比较. 医用生物力学, 2018, 33(5): 423-428.
5. 郭晓山. 骨盆骨折微创手术的问题及展望. 中华创伤骨科杂志, 2019, 21(1): 90-92.
6. Yin Y, Luo J, Zhang R, et al. Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture. Sci Rep, 2019, 9(1): 2578.
7. 唐佩福, 王岩. 骨折手术学. 北京: 人民军医出版社, 2013: 709-714.
8. Pennal GF, Tile M, Waddell JP, et al. Pelvic disruption: assessment and classification. Clin Orthop Relat Res, 1980, (151): 12-21.
9. Young JW, Burgess AR, Brumback RJ, et al. Pelvic fractures: value of plain radiography in early assessment and management. Radiology, 1986, 160(2): 445-451.
10. Doro CJ, Forward DP, Kim H, et al. Does 2.5 cm of symphyseal widening differentiate anteroposterior compression Ⅰ from anteroposterior compression Ⅱ pelvic ring injuries? J Orthop Trauma, 2010, 24(10): 610-615.
11. 水小龙, 曹生鲁, 冯永增, 等. 骨盆前后压缩Ⅱ型损伤相关韧带损伤机制的生物力学研究. 中华创伤骨科杂志, 2017, 19(5): 423-428.
12. 童凯, 刘宏哲, 白浪, 等. 前后压缩型骨盆损伤的三维有限元模型建立及相关韧带损伤机制分析. 中华创伤骨科杂志, 2018, 20(3): 217-222.
13. Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res, 1980, (151): 81-106.
14. Starr AJ, Nakatani T, Reinert CM, et al. Superior pubic ramus fractures fixed with percutaneous screws: what predicts fixation failure? J Orthop Trauma, 2008, 22(2): 81-87.
15. Coccolini F, Stahel PF, Montori G, et al. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg, 2017, 12: 5.
16. Tile M. Acute pelvic fractures: Ⅰ. Causation and classification. J Am Acad Orthop Surg, 1996, 4(3): 143-151.
17. Kellam JF, Meinberg EG, Agel J, et al. Fracture and dislocation classification compendium-2018: International comprehensive classification of fractures and dislocations committee. J Orthop Trauma, 2018, 32(1 Suppl): S1-S10.
18. Rommens PM, Hofmann A. Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment. Injury, 2013, 44(12): 1733-1744.
19. Oberkircher L, Ruchholtz S, Rommens PM, et al. Osteoporotic pelvic fractures. Dtsch Arztebl Int, 2018, 115(5): 70-80.
20. Rommens PM, Wagner D, Hofmann A. Do we need a separate classification for fragility fractures of the pelvis? J Orthop Trauma, 2019, 33(Suppl 2): S55-S60.
21. Henderson RC. The long-term results of nonoperatively treated major pelvic disruptions. J Orthop Trauma, 1989, 3(1): 41-47.
22. Lindsay A, Tornetta P 3rd, Diwan A, et al. Is closed reduction and percutaneous fixation of unstable posterior ring injuries as accurate as open reduction and internal fixation? J Orthop Trauma, 2016, 30(1): 29-33.
23. Reilly MC, Bono CM, Litkouhi B, et al. The effect of sacral fracture malreduction on the safe placement of iliosacral screws. J Orthop Trauma, 2006, 20(1 Suppl): S37-S43.
24. 陈华, 齐红哲, 朱正国, 等. 骨盆外架辅助复位联合通道螺钉固定治疗 Tile C1 型骨盆骨折. 中华创伤杂志, 2018, 34(10): 919-924.
25. Matta JM, Yerasimides JG. Table-skeletal fixation as an adjunct to pelvic ring reduction. J Orthop Trauma, 2007, 21(9): 647-656.
26. Lefaivre KA, Starr AJ, Reinert CM. Reduction of displaced pelvic ring disruptions using a pelvic reduction frame. J Orthop Trauma, 2009, 23(4): 299-308.
27. Lefaivre KA, Starr AJ, Barker BP, et al. Early experience with reduction of displaced disruption of the pelvic ring using a pelvic reduction frame. J Bone Joint Surg (Br), 2009, 91(9): 1201-1207.
28. 赵晶鑫. 不稳定骨盆骨折复位架的研发与应用. 北京: 中国人民解放军医学院, 2015.
29. Zhao JX, Zhang LC, Su XY, et al. Early experience with reduction of unstable pelvic fracture using a computer-aided reduction frame. Biomed Res Int, 2018, 2018: 7297635.
30. McLachlin S, Lesieur M, Stephen D, et al. Biomechanical analysis of anterior ring fixation of the ramus in type C pelvis fractures. Eur J Trauma Emerg Surg, 2018, 44(2): 185-190.
31. 蔡鸿敏, 成传德, 李红军, 等. 改良经皮逆行耻骨上支或髋臼前柱髓内螺钉置入技术治疗骨盆髋臼损伤. 中华创伤骨科杂志, 2018, 20(9): 750-756.
32. Guimarães JAM, Martin MP 3rd, da Silva FR, et al. The obturator oblique and iliac oblique/outlet views predict most accurately the adequate position of an anterior column acetabular screw. Int Orthop, 2019, 43(5): 1205-1213.
33. Routt ML Jr, Simonian PT, Grujic L. The retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions: a new technique. J Orthop Trauma, 1995, 9(1): 35-44.
34. Weatherby DJ, Chip Routt ML Jr, Eastman JG. The retrograde-antegrade-retrograde technique for successful placement of a retrograde superior ramus screw. J Orthop Trauma, 2017, 31(7): e224-e229.
35. Eastman JG, Chip Routt ML Jr. Intramedullary fixation techniques for the anterior pelvic ring. J Orthop Trauma, 2018, 32(Suppl 6): S4-S13.
36. Tosounidis TH, Giannoudis PV. ‘Reverse guide wire’ technique for placement of anterior column/superior pubic ramus screw in pelvis and acetabular surgery. Ann R Coll Surg Engl, 2018, 100(5): 418.
37. Quan Q, Hong L, Chang B, et al. A radiographic simulation study of fixed superior pubic ramus fractures with retrograde screw insertion. J Orthop, 2016, 13(4): 364-368.
38. Bonnel F. External fixation in fractures of the pelvis (author’s transl). Ann Chir, 1976, 30(2): 131-134.
39. Lee C, Sciadini M. The use of external fixation for the management of the unstable anterior pelvic ring. J Orthop Trauma, 2018, 32(Suppl 6): S14-S17.
40. Stewart RG, Kieser DC, Hammer N. Response to re: External fixation of unstable pelvic fractures: a systematic review and meta‐analysis. ANZ J Surg, 2019, 89(6): 787.
41. 蔡鸿敏, 刘又文, 李红军, 等. 骨盆髂嵴外固定架 Schanz 钉置钉区域的影像学研究. 中国骨伤, 2015, 28(7): 617-621.
42. 蔡鸿敏, 李红军, 倘艳锋, 等. 新型骨盆髂嵴外固定结合骶髂螺钉内固定治疗 OTA-61C1.3 型骨盆骨折. 中国矫形外科杂志, 2019, 27(2): 127-131.
43. Stewart R, Kieser DC, Scholze M, et al. Preliminary biomechanical results of a novel pin configuration for external fixation of vertical shear pelvic fractures. ANZ J Surg, 2018, 88(10): 1051-1055.
44. Cuervas-Mons M, Sánchez-Pérez C, Arnal-Burró J, et al. Ultrasound-guided supra-acetabular pelvic external fixator (US-SA FIX). Injury, 2019, 50(Suppl 1): S24-S29.
45. Kuttner M, Klaiber A, Lorenz T, et al. The pelvic subcutaneous cross-over internal fixator. Unfallchirurg, 2009, 112(7): 661-669.
46. Vaidya R, Colen R, Vigdorchik J, et al. Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: initial clinical series. J Orthop Trauma, 2012, 26(1): 1-8.
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Chinese Journal of Reparative and Reconstructive Surgery

Research progress on minimally invasive treatment of anterior pelvic ring fracture

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