Use of An Aiming Device for Pin Fixation in External Fixation of Pelvic Fractures
Keywords:
Pelvic fracture, External fixationAbstract
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
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
How to Cite
Issue
Section
License
Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.