The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Innovative Technique for Posterior Fixation of Vertically Unstable Pelvic Ring Fracture: A Case Report

Document Type : CASE REPORT

Authors
Mohammadreza Bozorgmanesh 1
Reza Latifi 2
Nazanin Hassannejad 2
1 Department of Orthopedic Surgery, Arak University of Medical Sciences, Arak, Iran
2 Student Research Committee, Arak University of Medical Sciences, Arak, Iran
10.22038/abjs.2023.70015.3286
Abstract
An obese 57-year-old woman with known hypertension and diabetes mellitus sustained multiple injuries 
during an accident, which caused anterior-posterior fracture-dislocation of the pelvic ring. Due to the 
drawbacks of conventional stabilizing methods for anterior-posterior fracture-dislocations of the hip in 
this setting, such as the inability to visualize anatomical landmarks fluoroscopically for the iliosacral 
screw technique and the compromised L5 pedicle preventing lumbopelvic fixation, the patient 
underwent an innovative Hula Hoop technique described here. Using the Hula Hoop technique, a 
technique that has rarely been studied in humans, we avoided an invasive open procedure, decreased 
anesthesia time, reduced the size and number of incisions, and minim ized bleeding. After three months 
of routine physiotherapy and occupational therapy, the patient was able to walk with a walker and an 
ankle-foot orthosis.
 Level of evidence: V
Keywords
Fracture dislocation
Fracture fixation
Minimal invasive
Multiple injuries
Pelvis
Unstable pelvic injuries
Subjects
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The Archives of Bone and Joint Surgery
Volume 11, Issue 10
October 2023
Pages 658-661

  • Receive Date 08 January 2023
  • Revise Date 22 June 2023
  • Accept Date 18 April 2023