Combination of Anterior and Posterior Subcutaneous Internal Fixation for Unstable Pelvic Ring Injuries: The “Hula Hoop Technique”
Daniel Balbachevsky, M.D., M.Sc.1, Robinson Esteves Pires, M.D., Ph.D.2, Rodrigo Guerra Sabongi, M.D.1, Theóphilo Asfora Lins, M.D.1, Geiser de Souza Carvalho, M.D.1, Hélio Jorge Alvachian Fernandes, M.D., Ph.D.1, Fernando Baldy dos Reis, M.D., Ph.D.1
1Federal University of São Paulo, São Paulo, Brazil
2Federal University of Minas Gerais, Belo Horizonte, Brazil
2Federal University of Minas Gerais, Belo Horizonte, Brazil
Correspondence to: Robinson Esteves Pires, M.D., Ph.D.
Federal University of Minas Gerais, Av. Alfredo Balena, 190 Santa Efigênia, Belo Horizonte 30130-100, Brazil
Tel: +55-31-3409-9757
Fax: +55-31-3409-9760
E-mail: robinsonestevespires@gmail.com
Federal University of Minas Gerais, Av. Alfredo Balena, 190 Santa Efigênia, Belo Horizonte 30130-100, Brazil
Tel: +55-31-3409-9757
Fax: +55-31-3409-9760
E-mail: robinsonestevespires@gmail.com
Received March 16, 2018; Revised May 3, 2018; Accepted June 7, 2018.
- Abstract
- Unstable pelvic ring lesions are usually treated with internal fixation. In patients presenting clinical i nstability or soft tissue complication r isk, external fixation is a safe treatment option. However, pin tract infection, insufficient biomechanical properties, difficulty sitting and changing decubitus are important drawbacks related to the treatment. The present study reports the association of anterior and posterior subcutaneous internal fixation by applying spine-designed implants on the pelvic ring disruption: supra-acetabular pedicle screws with an interconnecting rod (Infix), plus posterior transiliac fixation with the same system, which the authors have named the “Hula Hoop Technique”.
- Keywords : Pelvis; Fractures; Minimally Invasive; Fracture fixation; Unstable pelvic injuries
- March 2020, 33 (1)
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