Skip to main content

External Fixation in Pelvic Ring Injuries: the Pelvic Fixator

  • Chapter
Orthofix External Fixation in Trauma and Orthopaedics
  • 544 Accesses

Abstract

Injuries of the pelvic ring are usually seen in multiple trauma victims (Fig. 20.1). The major threat from pelvic ring injuries is blood loss, the source being the fracture surfaces as well as arterial and venous bleeding. Major haemorrhage may be the consequence and be responsible for death due to uncontrollable hypovolaemia. Mortality rates in unstable pelvic fractures range from 8.6 to 22.2 per cent. Open injuries considerably increase the likelihood of a fatal outcome. In the treatment protocol pelvic ring injuries have the highest priority of all skeletal injuries in polytrauma.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Apley AG, Solomon L (1993) Apleys system of orthopaedics and fractures (7th ed). Butterworth-Heinmann Ltd.: Oxford.

    Google Scholar 

  • Basmizian JV (1989) see Grant.

    Google Scholar 

  • Bell AL, Smith RA, Broon TD et al ‘Comparative Study of the Orthofix and Pittsburgh Frames by External Fixation of Unstable Pelvic Ring Fractures’.J Orthop Trauma 1988 2(2): 130–8.

    Article  Google Scholar 

  • Daum WJ, Tencer AF, Cartwright TJ et al ‘Pull-Out Strengths of Bone Screws at Various Sites About the Pelvis - A Preliminary Study’. J Orthop Trauma 1998 2(3): 229–33.

    Article  Google Scholar 

  • Kim WY, Hearn TC, Seleem O et al. (1998) ‘Effect of Screw Location on Stability of Pelvic External Fixation’ - Abstract presented on the OTA Meeting 1998.

    Google Scholar 

  • Malgaigne JF (1859) Treatise in Fractures. Lippincott: Philadelphia.

    Google Scholar 

  • Meighan A, Gregory A, Kelly M et al ‘Pelvic fractures: the golden hour’. Injury 1998 29(3): 211–213.

    Article  PubMed  CAS  Google Scholar 

  • Moss MC and Bircher MD ‘Volume changes within the true pelvis during disruption of the pelvis ring. Where does the haermorrhage go?’ Injury1996 27, Suppl. 1: 21–3.

    Article  Google Scholar 

  • Pauwels F (1965) Gesammelte Abhandlung zur funktionellen Anatomie des Bewegungsapparates. Springer Verlag: Berlin.

    Google Scholar 

  • Pennal GF, Tile M, Waddell JP et al ‘Pelvic disruption: Assessment and classification’. Clin Orthop RelatRes1980 151: 12–21.

    PubMed  Google Scholar 

  • Pennig D ‘The place of anterior external fixation in the stabilization of pelvic ring disruptions’. Suppl. 1993 Int J Orthop Trauma 3(3): 44–8.

    Google Scholar 

  • Slätis P, Huittinen VM ‘Double vertical fractures of the pelvis’. Acta Chirurg Scand 1972 138: 799–807.

    Google Scholar 

  • Tile M (1995) Fractures of the Pelvis and Acetabulum (2nd ed.). Williams & Wilkens: Baltimore.

    Google Scholar 

Supplementary Bibliography

  • Buchholz RW ‘The pathological anatomy of Malgaigne fracture dislocations of the pelvis.’ J Bone Joint Surg [Am] 1981 63-A: 400–404.

    Google Scholar 

  • De Bastiani G, Aldegheri R, Renzi-Brivio L ‘The treatment of fractures with a Dynamic Axial Fixator.’ J Bone Joint Surg [Br] 1984 66-B: 538-45.

    Google Scholar 

  • Grant (1980) Method of Anatomy (4th ed). Wilkens & Wilkens: Baltimore.

    Google Scholar 

  • Haeske-Seeberg H (1988) Inaugural Dissertation, Westfälische Wilhelms-Univesität Münster.

    Google Scholar 

  • Hesp WL, van der Werken C, Keunen RW et al ‘Unstable fractures and dislocations of the pelvic ring: results of treatment in relation to the severity of injury.’ Netherlands J Surg 1985 37: 148–152.

    CAS  Google Scholar 

  • Martin JG, Nepola JV, Marsh JL ‘The treatment of unstable pelvic injuries with the Orthofix external fixator.’ Suppl. Intern J Orthop Trauma 1993 3(3): 49.

    Google Scholar 

  • Mears DC, Fu FH ‘Modern concept of external skeletal fixation of the pelvis.’ Clin Orthop 1980 151: 65.

    PubMed  Google Scholar 

  • Müller-Färber J, Müller KH ‘Die verschiedenen Formen derinstabilen Beckenringverletzungen und ihre Behandlung.’ Unfallheilkunde 1984 87: 441–5.

    PubMed  Google Scholar 

  • Pennig D, Renzi-Brivio: Pelvic Applications. Fractures and Disruptions of the Pelvic Ring. Operative Technique Orthofix Sri, Bussolengo, Italy.

    Google Scholar 

  • Pennig D, Gladbach B, Majchrowski ‘Disruption of the pelvic ring during spontaneous childbirth. A case report.’ J Bone Joint Surg 1997 79-B: 438–40.

    Article  Google Scholar 

  • Pennig D, Klein W, Brug E (1989) ‘Pelvic ring disruptions.’ in: External Fixation and Functional Bracing. Coombs R, Green S, Sarmiento A (eds.) Orthotex: England.

    Google Scholar 

  • Rieger H, Pennig D, Brug E el al ‘Beckenringverletzungen und Bauchtrauma.’ Unfallchirurg 1991 94: 110–5.

    PubMed  CAS  Google Scholar 

  • Schweiberer I, Dambe LT, Klapp F ‘Die Mehrfachverletzung: Schweregrad und therapeutische Richtlinien.’ Chirurg 1978 49: 608–14.

    PubMed  CAS  Google Scholar 

  • Tile M ‘Pelvic ring fractures: should they be fixed?’ J Bone Joint Surg [Br] 1988 70-B: 1–2.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag London Limited

About this chapter

Cite this chapter

Pennig, D., Gausepohl, T. (2000). External Fixation in Pelvic Ring Injuries: the Pelvic Fixator. In: De Bastiani, G., Apley, A.G., Goldberg, A. (eds) Orthofix External Fixation in Trauma and Orthopaedics. Springer, London. https://doi.org/10.1007/978-1-4471-0691-3_20

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-0691-3_20

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1178-8

  • Online ISBN: 978-1-4471-0691-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics