Early results of percutaneous iliosacral screws placed with the patient in the supine position.
J Orthop Trauma 1995 Jun;9(3):207-14
Unable to reduce 17/43 complete posterior disruptions closed (Tile type C).
AUTHORS: Routt ML Jr; Kregor PJ; Simonian PT; Mayo KA, Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Seattle
ABSTRACT: The operative management of pelvic ring fractures and dislocations is difficult. Posterior pelvic ring disruptions are often associated with severe soft-tissue injuries and high infection rates. Percutaneous iliosacral screw fixation of the posterior pelvis has become popular with improved fluoroscopic imaging techniques. The percutaneous iliosacral screw technique after closed reduction of the posterior pelvic disruption minimally violates the soft-tissue envelope and should diminish both the operative blood loss and infection rate. The early results and complications are documented in our first 68 patients.