Use of An Aiming Device for Pin Fixation in External Fixation of Pelvic Fractures

Authors

  • Saranatra Waikakul Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand 10700
  • Niran Kojaranon Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand 10700
  • Vichai Vanadurongwan Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand 10700

Keywords:

Pelvic fracture, External fixation

Abstract

               To improve accuracy and lessen the operative time in immediate anterior stabilization with external fixator in unstable fractured pelvis, an aiming device has been designed according to the study of 50 flesh cadaveric iliac crests and iliac wings. The aiming device came in 2 sizes, 1.5 cm in diameter and 1.75 cm in diameter, for female and male patients, respectively. It could guide Shantz pin with 0.5 cm in diameter to fix anterior iliac crest promptly in 30 patients. All pins were in good position and no complication of the fixation was observed. The device could also shorten the operative time down to about 10 to 15 minutes, and immediate fixation was allowed to perform in the emergency room under local anaesthesis because this aiming device requires less exposure of the iliac crest.

References

1. Alonso JE, Lee J, Burgess AR, Browner PP. The management of complex orthopaedic injuries. Surg Clin North Am 1996;7694):879-803.

2. Browner BP, Cole M. Initial management of pelvic ring disruption. In: Basselt FH, III, editor. Instructional Course Lecture, vol 37. Park Ridge: American Academy of Orthopaedic Surgeons Press; 1988.p. 129-37.

3. Burgess AR, Jones AL. Fracture of pelvic ring. In: Rockwood CA Jr, Bucholz RW, Heekinan JD, editors. Rookwood and Green's Fractures in Adults. Philadelphia: Lippincott Roven; 1996.p. 1575-616.

4. Waikakul S, Harnroongroj T, Vanadurongwan V, Immediate stabilization by external fixator in unstable fractures of the pelvis: results in 214 patients. Thai J Surg 1997;18(2):59-65.

5. Riemer BL, Butterfield SL, Diamond DL, et al. Acute mortality associated with injuries to the pelvic ring: the role of early patient mobilization and external fixation. J Trauma 1993;35(5):671-51.

6. Tile M, Pennal GR. Pelvic disruption: Pinciples of management. Clin Orthop 1980; 151:56-65.

7. Waikakul S, Vanadurongwan V, Sakarnkosal S. Relationship between foot length and the inter anterior superior iliac distance. Injury 1998;29(10):763-7.

Downloads

Published

1999-12-30

How to Cite

1.
Waikakul S, Kojaranon N, Vanadurongwan V. Use of An Aiming Device for Pin Fixation in External Fixation of Pelvic Fractures. Thai J Surg [Internet]. 1999 Dec. 30 [cited 2024 Nov. 23];20(4):125-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/247903

Issue

Section

Original Articles