Special repair technique for pelvic fracture in pediatric population
Keywords:
pediatrics, trauma, pelvis, bone fractures, fracture fixation.Abstract
Introduction: Pelvic fractures in the pediatric population are rare, representing up to 3 % of traumas in orthopedics.
Objective: To describe a special repair technique in a pediatric case of pelvic fracture.
Case report: The patient was admitted due to a traffic accident. The patient presented with pelvic instability and pain on palpation. Radiological images confirmed an unstable pelvic fracture. Damage was controlled with external brace fixation, open reduction plus internal fixation, and Pfannenstiel-type approach. This subject maintained adequate clinical evolution.
Conclusions: Pelvic fractures require surgical intervention in most cases, but require more studies.
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References
Azar F, Canale T, Beaty J. Campbell's Operative Orthopaedics vol 4. 14 ed. Elsevier; 2022. p. 1492-1639.
Banerjee S, Barry MJ, Paterson JM. Paediatric pelvic fractures: 10 years experience in a trauma centre. Injury. 2009;40(4):410-3. DOI: https://doi.org/10.1016/j.injury.2008.10.019
Christopher J, De Francesco BS, Sankar W. Traumatic pelvic fractures in children and adolescents. Sem Pediat Surg. 2017;26(1):27-35. DOI: https://doi.org/10.1053/j.sempedsurg.2017.01.006
Spencer MH. Pelvic trauma: Initial evaluation and management. UpToDate. 2022 [acceso 19/12/2022]. Disponible en: https://www.uptodate.com/contents/pelvic-trauma-initial-evaluation-and-management
Brunicardi R, Delgado L. Fractura de pelvis en niños. Rep Medic Cir. 2016;25(3):168-73. DOI: https://doi.org/10.1016/j.reper.2016.10.001
Dello B, Bassini O, Zacarias A, Groiso J. Fracturas de pelvis en pacientes pediátricos. Rev Asoc Arg Ortop Traumatol. 2016 [acceso 19/12/2022];60:126-35. Disponible en: https://www.aaot.org.ar/revista/1993_2002/1995/1995_2/600202.pdf
Rodríguez F, Amate A. Fractura de pelvis. Clasificación y pautas de tratamiento complicaciones. Soc Esp Cir Ortop Traumatol. 2014 [acceso 19/12/2022]. Disponible en: https://unitia.secot.es/web/manual_residente/CAPITULO%2073.pdf
Huertas R, Herrera G, Holguín J, Gómez B, Méndez R. Fractura inestable de pelvis en esqueleto inmaduro. Reporte de caso. Rev Colomb Ortop Traumatol. 2016;30(3):117-21. DOI: https://doi.org/10.1016/j.rccot.2016.10.007
Lee LK, Farrell. C. Trauma management: Approach to the unstable child. UpToDate. 2022 [acceso 19/12/2022]. Disponible en: https://www.uptodate.com/contents/trauma-management-approach-to-the-unstable-child
Brito M, Aliso K, Zambrano E. Manejo quirúrgico de las fracturas de pelvis inestables en pacientes pediátricos. Rev Venez Cir Ortop Traumatol. 2013 [acceso 19/12/2022];45(2):17-22. Disponible en: https://docs.bvsalud.org/biblioref/2021/08/1282600/art-3.pdf
Mejia D, Parra M, Ordoñez C, Padilla N, Caicedo Y, Jurado PA, et al. Hemodynamically unstable pelvic fracture: a damage control surgical algorithm that fits your reality. Colomb Méd. 2020;51(4):e4214510. DOI: https://doi.org/10.25100/cm.v51i4.4510
Nieto L, González C, Pérez R. Tratamiento de las fracturas de pelvis inestable tipo IV de la clasificación de Torode y Zieg en niños. Acta Ortop Mex. 2010 [acceso 19/12/2022];24(5):338-44. Disponible en: https://www.medigraphic.com/pdfs/ortope/or-2010/or105i.pdf
Cydulka R. Tintinalli. Manual de Medicina de Urgencias. 8 ed. McGraw Hill; 2018.
Shore B, Cameron P, Dip G, Bevin C. Pediatric pelvic fracture: a modification of a preexisting classification. J Pediatr Orthop. 2012;32(2):162-8. DOI: https://doi.org/10.1097/bpo.0b013e3182408be6
Ballesteros Y. Manejo del paciente politraumatizado. Prot Diagn Ter Pediatr. 2020 [acceso 19/12/2022];1:247-62. Disponible en: https://www.aeped.es/sites/default/files/documentos/19_paciente_politraumatizado.pdf
