Posterior transiliac plating in vertically unstable sacral fracture - 10/08/19

Doi : 10.1016/j.otsr.2019.06.014

Mehdi Boudissa ^a,^b,^c,⁎ , Maxime Saad ^a, Gael Kerschbaumer ^a,^b, Sébastien Ruatti ^a, Jérôme Tonetti ^a,^b,^c
^a Service de chirurgie orthopédique et traumatologique, hôpital Nord, CHU de Grenoble, boulevard de la Chantourne, 38700 La Tronche, France
^b Université Grenoble Alpes, 38000 Grenoble, France
^c CNRS UMR 5525, laboratoire TIMC-IMAG, université Grenoble Alpes, Pavillon Taillefer, 38700 La Tronche, France

^⁎Corresponding author at: Service de chirurgie orthopédique et traumatologique, hôpital Nord, CHU de Grenoble, boulevard de la Chantourne, 38700 La Tronche, France.Service de chirurgie orthopédique et traumatologique, hôpital Nord, CHU de Grenobleboulevard de la ChantourneLa Tronche38700France

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Saturday 10 August 2019
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Abstract

The aim of the present technical note is to describe the posterior transiliac plating method. Acute-phase clinical and radiological results in a continuous series of 10 vertically unstable fractures are presented. Reduction was good or excellent in 70% of cases, and clinical results were good or excellent in 80% on Hannover and Majeed scores, with mean Majeed score of 71.8±17. Complications comprised 3 cases of early postoperative sepsis requiring surgical lavage, and 4 cases of hardware removal due to discomfort. At last follow-up, consolidation was systematic. Reduction was more difficult with longer time to surgery and greater initial displacement. Posterior transiliac plating provided immediately effective fixation in vertically unstable pelvic fracture.

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Keywords : Pelvic ring fracture, Sacral fracture, Transiliac plate fixation