$Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis$
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Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis

Abstract There have been few reports on fixation of Rommens classification Type IIIA fragility fractures of the pelvis (FFPs). Here, we present our less invasive surgical technique, called iliac intramedullary stabilization (ILIS), for the internal fixation of Type IIIA FFPs. The technique involves...

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Autores principales:	Shingo Okazaki, Masahiro Shirahama, Ryuki Hashida, Mitsuhiro Matsuura, Shiro Yoshida, Kenjiro Nakama, Hiroo Matsuse, Naoto Shiba
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7f48efeffe59478bbbbf7db6c20b3208
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spelling	oai:doaj.org-article:7f48efeffe59478bbbbf7db6c20b32082021-12-02T16:08:58ZIliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis10.1038/s41598-020-77560-72045-2322https://doaj.org/article/7f48efeffe59478bbbbf7db6c20b32082020-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-77560-7https://doaj.org/toc/2045-2322Abstract There have been few reports on fixation of Rommens classification Type IIIA fragility fractures of the pelvis (FFPs). Here, we present our less invasive surgical technique, called iliac intramedullary stabilization (ILIS), for the internal fixation of Type IIIA FFPs. The technique involves a closed reduction, termed the femur internal rotation reduction method (FIRM), whereby the fracture fragments are repositioned using lateral rotators by internally rotating the femur while the patient is in the prone position. Two iliac screws are inserted on the ilium bilaterally via the supra-acetabular bone canal during FIRM and connected with two transverse rods and two cross connectors. We refer to this internal fixation procedure as ILIS. We retrospectively recruited patients with Type IIIA fractures, treated using this procedure, at our institute between October 2017 and October 2019. We evaluated operative and post-operative outcomes. We enrolled 10 patients (9 women and 1 man; mean age, 85.2 years) who were followed up for over 6 months. All patients suffered FFPs after falling from a standing position. The mean operative time was 145.1 (range, 94–217) minutes, and the mean blood loss was 258.5 (range, 100–684) ml. All patients were allowed full weight bearing from post-operative day 1. All patients achieved bone union and regained their pre-injury walking ability at 6 months after surgery without evident secondary displacement. In conclusion, our ILIS technique allows less invasive internal fixation of Type IIIA FFPs with adequate stability for full weight bearing from post-operative day 1.Shingo OkazakiMasahiro ShirahamaRyuki HashidaMitsuhiro MatsuuraShiro YoshidaKenjiro NakamaHiroo MatsuseNaoto ShibaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-7 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shingo Okazaki Masahiro Shirahama Ryuki Hashida Mitsuhiro Matsuura Shiro Yoshida Kenjiro Nakama Hiroo Matsuse Naoto Shiba Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis
description	Abstract There have been few reports on fixation of Rommens classification Type IIIA fragility fractures of the pelvis (FFPs). Here, we present our less invasive surgical technique, called iliac intramedullary stabilization (ILIS), for the internal fixation of Type IIIA FFPs. The technique involves a closed reduction, termed the femur internal rotation reduction method (FIRM), whereby the fracture fragments are repositioned using lateral rotators by internally rotating the femur while the patient is in the prone position. Two iliac screws are inserted on the ilium bilaterally via the supra-acetabular bone canal during FIRM and connected with two transverse rods and two cross connectors. We refer to this internal fixation procedure as ILIS. We retrospectively recruited patients with Type IIIA fractures, treated using this procedure, at our institute between October 2017 and October 2019. We evaluated operative and post-operative outcomes. We enrolled 10 patients (9 women and 1 man; mean age, 85.2 years) who were followed up for over 6 months. All patients suffered FFPs after falling from a standing position. The mean operative time was 145.1 (range, 94–217) minutes, and the mean blood loss was 258.5 (range, 100–684) ml. All patients were allowed full weight bearing from post-operative day 1. All patients achieved bone union and regained their pre-injury walking ability at 6 months after surgery without evident secondary displacement. In conclusion, our ILIS technique allows less invasive internal fixation of Type IIIA FFPs with adequate stability for full weight bearing from post-operative day 1.
format	article
author	Shingo Okazaki Masahiro Shirahama Ryuki Hashida Mitsuhiro Matsuura Shiro Yoshida Kenjiro Nakama Hiroo Matsuse Naoto Shiba
author_facet	Shingo Okazaki Masahiro Shirahama Ryuki Hashida Mitsuhiro Matsuura Shiro Yoshida Kenjiro Nakama Hiroo Matsuse Naoto Shiba
author_sort	Shingo Okazaki
title	Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis
title_short	Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis
title_full	Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis
title_fullStr	Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis
title_full_unstemmed	Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis
title_sort	iliac intramedullary stabilization for type iiia fragility fractures of the pelvis
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/7f48efeffe59478bbbbf7db6c20b3208
work_keys_str_mv	AT shingookazaki iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis AT masahiroshirahama iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis AT ryukihashida iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis AT mitsuhiromatsuura iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis AT shiroyoshida iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis AT kenjironakama iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis AT hiroomatsuse iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis AT naotoshiba iliacintramedullarystabilizationfortypeiiiafragilityfracturesofthepelvis
_version_	1718384479809044480

Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis

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