Late reconstruction after pelvic ring injuries.

Détails

ID Serval
serval:BIB_8ECB1B0CBA77
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Late reconstruction after pelvic ring injuries.
Périodique
Injury
Auteur(s)
Gautier E., Rommens P.M., Matta J.M.
ISSN
0020-1383 (Print)
ISSN-L
0020-1383
Statut éditorial
Publié
Date de publication
1996
Volume
27
Numéro
Suppl. 2
Pages
B39-B46
Langue
anglais
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Résumé
Pelvic malunions or nonunions are the result of inappropriate treatment of rotationally or linearly unstable injuries of the pelvic ring. Long-term sequelae such as chronic pain in the posterior pelvic ring, gait abnormalities, leg length discrepancy, sitting discomfort, neurological problems or impingement on the visceral organs may be secondary to the disturbed integrity of the pelvic ring. The late correction of the deformity is technically much more demanding than the treatment of acute pelvic ring injuries. Depending on the specific problem, osteotomies at the site of the deformity, excision of scar tissue and callus, release of ligaments, bone grafting, and an adapted technique of reduction and fixation may be required. Possible complications include nerve or vascular injuries, incomplete reduction of the deformity, failure to unite, incomplete pain relief, and infection. Prior to surgery, a careful clinical and radiological examination is mandatory to assess the relationship between the presenting anatomical deformity and the complaints of the patient. The final decision for surgery has to be made by the patient taking into account reasonable expectation and the potential complications associated with the corrective procedure.
Mots-clé
Fracture Fixation/methods, Fractures, Malunited/radiography, Fractures, Malunited/surgery, Fractures, Ununited/radiography, Fractures, Ununited/surgery, Humans, Pelvic Bones/injuries, Pelvic Bones/radiography, Reoperation/methods
Pubmed
Web of science
Création de la notice
26/11/2012 20:26
Dernière modification de la notice
03/03/2018 19:19
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