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Posterior stabilization of the Unstable Pelvic Ring Fracture
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Soon Taek Jeong, Ji Yeon Kim, Se Hyun Cho
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J Korean Soc Fract 1996;9(3):513-517. Published online July 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.3.513
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 Abstract
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- Stable pelvis fracture is easily treated by conservative treatment with little complication. Unstable pelvic ring fracture, however, is difficult to manage due to various problems. Conservative treatment is rarely indicated because prolonged traction and immobilization often lead to life-threatening complications. The malunion produces pain, limb length discrepancy and eventually poor life quality, Surgical stabilization can help easy care of patients, early mobilization and diminish the morbidity.
This study is to present the clinical results of two kinds of metal fixations using seven transiliac bars and four percutaneous sacral screws for the surgical stabilization of the unstable pelvic ring fractures. Total eleven cases had been operated by the authors at Geyong-Sang national hospital from August 1991 to April 1994. They were eight male and three female patients of average forty one years in age(range, eighteen to sixty two years). The average duration of follow-up was thirty one months(range, twenty to fifty three months).
All cases of sacral screw fixations revealed satisfactory results both at clinical and radiological aspects. Out of seven cases of transiliac bar fixation, there were two cases of minor infection and three cases of painful and palpable hardware requiring removal, especially in thin patients. The results confirm that sacral screw is better tolerated by thin patients in spite of risk of temporary entrapment of sacral cutaneous nerves.
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Ilizarov Method for Treatment of Large Bone Defect
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Hae Ryong Song, Young June Park, Ji Yeon Kim
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J Korean Soc Fract 1996;9(3):794-800. Published online July 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.3.794
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Abstract
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- Twenty eight long bone defects were treated with internal bone transport using Ilizarov method. The causes of defect were open fracture (ten cases), infected non-union(nine cases), and osteomyelitis(nine cases).
The mean bone defect was 8.5cm ranging from 2.5cm to 22cm in open fracture and 5.8cm ranging from 1.8cm to 17cm in an infected nonunion, and 7.2cm ranging from 3.4cm to 12cm in osteomyelitis.
Internal bone transport was performed with transverse ring system. Free latissimus dorsi muscle flap was done in three cases and rotational muscle flap in seven cases.
Single level lengthening was done in 26 cases and double level lengthening in two cases. Fibular transport was done in five cases.
All cases obtained bone union. The radiologic consolidation index was 89 day/cm in tibia, 71d ay/cm in femer, and 42.5 day/cm in humerus. External fixation index was 96 day/cm in tibia, 86 day/cm in femur, and 48.5 day/cm in humerus.
Complications were pin tract infection(25 cases), equinus contracture of ankle(7 cases), knee flexion contracture(4 cases), delayed union(11 cases), premature consolidation(2 cases) and refracture(1 case).
Ilizarov method is a useful treatment for large bone defect inopen fracture and infected nonunion. To obtain better result, careful postoperative management and intensive physiotherapy are recommended.
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