Document Type: TECHNICAL NOTE
Department of Trauma & Orthopaedics, Addenbrooke’s Cambridge University Hospital, Cambridge, UK
Fractures through the sacroiliac joint are very challenging to treat, technically difficult to reduce through closed methods on account of the multiaxial displacement of fractures fragments, frequently occur in very unwell patients, and have poor outcomes if malreduction is present. We describe a technique utilising the lateral window and a short buttress plate to reduce and stabilize the fragments prior to percutaneous fixation with sacroiliac screws.
- Kregor PJ, Routt ML Jr. Unstable pelvic ring disruptions in unstable patients. Injury. 1999; 30(Suppl 2):B19-28.
- Adelved A, Tötterman A, Glott T, Søberg HL, Madsen JE, Røise O. Patient-reported health minimum 8 years after operatively treated displaced sacral fractures: a prospective cohort study. J Orthop Trauma. 2014; 28(12):686-93.
- Routt ML Jr, Simonian PT, Agnew SG, Mann FA. Radiographic recognition of the sacral alar slope for optimal placement of iliosacral screws: a cadaveric and clinical study. J Orthop Trauma. 1996; 10(3):171-7.
- Cole JD, Bolhofner BR. Acetabular fracture fixation via a modified Stoppa limited intrapelvic approach. Description of operative technique and preliminary treatment results. Clin Orthop Relat Res. 1994; 305(2):112–23.
- Griffin DR, Starr AJ, Reinert CM, Jones AL, Whitlock S. Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure? J Orthop Trauma. 2003; 17(6):399-405.
- Reilly MC, Bono CM, Litkouhi B, Sirkin M, Behrens FF. The effect of sacral fracture malreduction on the safe placement of iliosacral screws. J Orthop Trauma. 2003; 17(2):88-94.
- Calafi LA, Routt ML Jr. Posterior iliac crescent fracture-dislocation: what morphological variations are amenable to iliosacral screw fixation? Injury. 2013; 44(2):194-8.
- Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg Br. 1988; 70(1):1-12.